- Sanford Health (TX)
- …will lead the ongoing analysis, planning, and management of their respective product line or Health Plan or Sanford Health System service and will identify ... market requirements and translate those requirements into business opportunities for the Health Plan . Leads the end-to-end product lifecycle, from concept and… more
- Sanford Health (TX)
- …a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0241217 **Job Function:** Health Plan **Featured:** No ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...dental insurance, vision insurance, life insurance, a 401(k) retirement plan , work/life balance benefits, and a generous time off… more
- Molina Healthcare (Austin, TX)
- …The Manager, Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues related ... multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of medical cost trends.… more
- CommonSpirit Health at Home (Houston, TX)
- …+ Seven paid holidays; Four days of Personal Time + Blue Cross Blue Shield Standard PPO Plan /High Deductible Health Plan + Delta Dental Plan + EyeMed ... Vision Plan + Fidelity 401(K) Plan + Lyra Mental Health Benefits + Cigna Life/AD&D Plans + Cigna Long Term Disability + Cigna Short Term Disability + Cigna… more
- Humana (Austin, TX)
- …5 or more years of health industry experience. + 3 or more years of ACA/ Health Insurance Exchange Qualified Health Plan (QHP) or Qualified Dental Plan ... part of our caring community and help us put health first** The Health Insurance Exchange Liaison...primarily focused on Humana's obligations, as a Qualified Dental Plan (QDP) issuer, to meet all federal Affordable Care… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. **Position Summary** The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with Health ... action plans to become compliant. Our team collaborates with both the Aetna Health Plan business teams and with our CVS Caremark PBM colleagues to understand… more
- Humana (Corpus Christi, TX)
- …with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to ... **Become a part of our caring community and help us put health first** Responsible for the overall provision of respiratory care, including the planning developing… more
- Health Care Service Corporation (Richardson, TX)
- …on an array of Medical Drug initiatives. This position has a deep understanding of health plan reimbursement and of the overall pharmacy value chain. It is ... Preferred Job Qualifications: * MBA or other advanced degree * Experience with health plan or pharmacy reimbursement (eg, health plan network/contracting… more
- CVS Health (Austin, TX)
- …to navigate multiple systems and tools. **Preferred Qualifications** + Knowledge of health plan benefits and regulatory requirements. Prior experience in ... At CVS Health , we're building a world of health...issues based on phone calls/letters from members, providers, and plan sponsors. + Triages resulting rework to appropriate staff.… more
- Humana (Corpus Christi, TX)
- …with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to ... part of our caring community and help us put health first** The Home Health Quality Auditor...Verify coding accuracy, medication reconciliation, and alignment of the plan of care with clinical documentation. + Perform timely… more