- Molina Healthcare (Houston, TX)
- …Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) **Preferred ... and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing,… more
- CVS Health (Austin, TX)
- …and every day. We are seeking a proactive and highly organized Manager of Production Management to join the Signify Health team to oversee field service dispatch ... At CVS Health , we're building a world of health...supervisory experience of scheduling/dispatching team, including team training, shift management , etc. + Knowledge of Medicare Advantage ,… more
- Humana (Austin, TX)
- …Medicare Advantage and Managed Medicaid products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other ... materials, internal teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and… more
- CVS Health (Austin, TX)
- …candidate will have deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management , and pricing strategies. This role requires a strong ... At CVS Health , we're building a world of health...development and execution of actuarial analytics strategies for Medicare Advantage and Part D programs. + Inform and enhance… more
- American Airlines (Dallas, TX)
- … Management oversees over $40 billion in various retirement and benefit plan assets. Investment Management is also responsible for advising the Employee ... activities of American's various defined benefit, defined contribution, foundation, and health & welfare plans. The Director, Investment Management reports… more
- CenterWell (Austin, TX)
- …Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage /Medicare + ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...+ Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
- Humana (Austin, TX)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience with ... focus on collaborative business relationships, value based care, population health , or disease or care management . Medical...leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23… more
- CenterWell (Austin, TX)
- …procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage /Medicare/Medicaid ... part of our caring community and help us put health first** Healthcare isn't just about health ...experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The **Denials Management Specialist** is responsible to respond to, monitor and analyze ... the dissemination of information. + Provides trended reports for operations and clinical management in order to improve performance, collaborates with and acts as a… more
- Capital One (Plano, TX)
- …we're not just getting work done-we're collaborating, building relationships, and taking advantage of all our in-person resources, including health centers, ... Principal Associate, Risk Management (FS) As a Principal Risk Associate in...could be discretionary or non discretionary depending on the plan . Capital One offers a comprehensive, competitive, and inclusive… more