- CVS Health (Austin, TX)
- …updates and data audits, production, and inventory management within the Medicaid Provider Data Service business organization. **Required Qualifications** + ... Microsoft Office Suite. **Preferred Qualifications** + Demonstrates mastery of Medicaid Provider Data Services job responsibilities and...position to succeed and meet expectations + Able to provide guidance to team and drive decisions based on… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Senior Data Manager supports all aspects of configuration control, data management, and ... deficiency reporting. The Senior Data Manager work assignments involve moderately...value in a fast-paced, dynamic environment to support our Medicaid program through engaging in the transformation of clinical… more
- Humana (Austin, TX)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... Engineer will be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities. They will… more
- CVS Health (Austin, TX)
- …convenient and affordable. **Position Summary** The Senior Vendor Contract Relationship Manager will work for the national Medicaid network vendor management ... provide insight into complex vendor issues. The Senior Vendor Relationship Manager will work with...strategic approach to problem solving + 3+ years of Provider Contract Negotiation experience + 5+ years of Healthcare… more
- Cardinal Health (Austin, TX)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... manner. + Process enrollments via inbound fax, phone, and electronically. + Provide world-class service and receive inbound calls from patients, healthcare … more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **RN LTSS Case Manager - hiring in CENTRAL Texas near Kempner, Hamilton, Waco, Killen, Temple, ... Belton, Lampasas, Copperas Cove, Coolidge, and Lorena, TX** **Complete Medicaid health assessments and coordinate medical services for adult members (18 - 65)**… more
- CenterWell (Austin, TX)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Manager , Encounter Data Management develops business processes to ensure successful submission and ... reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and… more
- Prime Therapeutics (Austin, TX)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Humana (Austin, TX)
- …and help us put health first** Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business ... project management are best suited for this role. The Senior Implementation Business Project Manager will serve... will serve as a subject matter expert and provide oversight to the development of solutions to relevant… more
- Deloitte (Austin, TX)
- …March 31, 2025. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you will ... assist Deloitte Senior Managers and Partners in providing strategic and technical...Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures; applies advanced technical knowledge to solve… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Senior Category Manager will report directly into the Associate Director of Category ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CVS Health (Austin, TX)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... support innovative and strategic provider relationships as part of the VBC Business Development...strategies across multiple lines of business, including Medicare Advantage, Medicaid , ACA, and Commercial. + Develops relationships with providers… more
- CenterWell (Austin, TX)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... and MSWs including principles of population health, value-based care, senior care. May also need to incorporate EMR, compliance,...+ Serve as faculty for CIT Learning Journey and provider onboarding as needed. + Monitor LCSW and MSW… more
- CenterWell (Austin, TX)
- …Internal Medicine, or Geriatric Medicine * Active and unrestricted DEA license * Medicare Provider Number * Medicaid Provider Number * Excellent verbal and ... is capable of handling a variety of health-related problems. Provide virtual, high-quality care for patients by leveraging a...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
- CenterWell (Austin, TX)
- …manner, as needed Preferred Qualifications: . Active and unrestricted DEA license . Medicare Provider Number/ Medicaid Provider Number . Bilingual in English ... put patients at the center. As the nation's largest provider of senior -focused primary care, one of...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Molina Healthcare (Austin, TX)
- …management (such as, reviewing prior authorization requirements, reviewing drug/ provider utilization patterns and pharmacy costs management), clinical pharmacy ... serve as a team lead to support the pharmacy manager in the daily operations of the pharmacy team...daily operations of the pharmacy team as well as provide regular "on the ground" staffing for pharmacy operations.… more