- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Amazon (TX)
- Description Application deadline: Jan 8, 2026 As a Program Manager II on the One Medical At -Risk team, you will be the primary builder of new and existing ... balancing time, quality, and resources to optimize project and program outcomes * Lead the end-to-end implementation of new...driving end to end delivery, and communicating results to senior leadership experience - 3+ years of driving process… more
- Humana (Austin, TX)
- …8-12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, ... The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based**...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements...paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally… more
- Gentiva (Athens, TX)
- …EEO employer + We maintain a drug-free workplace Related Job Titles hospice RN manager , patient care manager senior , hospice leadership jobs, RN leadership, ... Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join...play a vital role in maintaining a high-performing hospice program by managing patient care activities, supervising clinical staff,… more
- Danaher Corporation (Dallas, TX)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business development ... support segment leaders with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Irving, TX)
- …Summary** CVS Health offers an exciting opportunity to join our team as Senior Manager , Financial Reporting & Analysis within HCB Controllership. This role ... Qualifications** 2+ years managing teams. Knowledge of: + Healthcare Industry/ Medicare /Medicaid/Commercial business drivers. + Accounting, finance, and auditing experience… more
- Abbott (Austin, TX)
- …(https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU ... than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and managing… more
- Humana (Frisco, TX)
- …pharmacy benefit manager . Humana's CenterWell Marketing organization is hiring a Senior Marketing Associate ( Senior Product Marketer) to support the growth ... individuals. Humana's provider organization, CenterWell, is the nation's largest provider of senior -focused primary care, one of the largest providers of home health… more
- CenterWell (Austin, TX)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. +… more
- Waystar (Austin, TX)
- **ABOUT THIS POSITION** Waystar is seeking a Senior Product Manager to join the team. Reporting to the Vice President, Product Strategy, you will be responsible ... that ensure marketing leading position. + Operating at a senior level, define product vision and strategy aligned with...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CVS Health (Austin, TX)
- …Qualifications: + 7+ years experience in 7+ years of experience in Medicare /Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy Preferred ... client-specific government programs action plan to ensure compliance with Star Ratings program . + Advises organizational teams to develop and execute government … more
- BrightSpring Health Services (Irving, TX)
- …and direct telephone outreach, the primary responsibility of the Regional Account Manager (inside sales) position will be to develop and manage a designated ... within initiatives (ie Selling our Success communication, drug launches, Medicare changes, etc.) designed to ensure territory meets performance requirements… more
- CVS Health (San Antonio, TX)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role Strong verbal and written… more
- Health Care Service Corporation (Richardson, TX)
- …strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. ... and written communication skills. + Experience with interacting successfully with senior management and staff across multiple departments. + Organizational skills,… more
- CenterWell (Austin, TX)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Austin, TX)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Beaumont, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (Fort Worth, TX)
- …a part of our caring community and help us put health first** At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our ... Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen… more