- Sumitomo Pharma (Austin, TX)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** The Medicaid senior manager , network management: * Negotiates, executes, ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies. . * Conducts research,… more
- CVS Health (Austin, TX)
- …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- Public Consulting Group (Austin, TX)
- …facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. + Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … more
- Elevance Health (Grand Prairie, TX)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** **Location:** This is a virtual position; US...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- CVS Health (Irving, TX)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is...and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing...SAS, Excel, or equivalent preferred. + Proficiency in analyzing Medicaid claims data preferred. + Experience analyzing and building… more
- CVS Health (Dallas, TX)
- …Assigned to VBS Providers** **limited to only one line of business** **( Medicaid ) and/or** **less complex VBS Medicaid models** **and** **smaller provider ... internal and external parties as needed to ensure compliance with contract terms and expectations** **Coordinates and prepares for external provider meetings… more
- Elevance Health (Denison, TX)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior - Appeals** _This is a United States based,...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more