- Prime Therapeutics (Austin, TX)
- …develop and optimize segment-specific strategies to ensure Individual Marketplace growth for Health Plan accounts + Partner with Segment Client Engagement team ... to provide client specific recommendations for segment success + Work with Health Plan clients to ensure short and long-term product performance goals are met,… more
- CVS Health (Irving, TX)
- …will be responsible for financial reporting, forecasting and analysis within the Aetna Better Health of Virginia Medicaid health plan . This role will require ... work cross-functionally with actuarial, accounting, finance, operations and various functional health plan leadership to collaborate on driving performance… more
- Molina Healthcare (Austin, TX)
- …working in women's health ; specifically, OB, L&D, or postpartum, to join our Texas Health Plan as a Case Manager. Your caseload will consist of members who ... also consider RNs with a strong background in women's health . Hours are Monday - Friday, 8 AM -...Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other… more
- CVS Health (Austin, TX)
- …is a collaborative demonstration of innovative healthcare navigation and motivational health plan customer support representation. This is an exciting ... demonstrate a highly energetic blend of salesperson, healthcare navigator and health plan customer support representative. The Associate is responsible… more
- CVS Health (Austin, TX)
- …including post-graduate direct patient care experience. **Preferred Qualifications** * Health plan /payor experience. *Managed Care experience *Electronic ... At CVS Health , we're building a world of health...and promote Aetna's medical management programs and the Employer's ( Plan Sponsor's) resources to address member needs across the… more
- CVS Health (Austin, TX)
- …experience in pharmacy or PBM industry. + Experience managing employer group or health plan accounts. + Proficiency in Word, Excel, PowerPoint. **Education** + ... At CVS Health , we're building a world of health...plan designs benefiting both the client and CVS Health . Your success as a Pharmacy Account Executive will… more
- Highmark Health (Austin, TX)
- …markets and lines of business. This will require aligning new models to the health plan 's strategic objectives based on a deep understanding of innovation and ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL… more
- Health Care Service Corporation (Richardson, TX)
- …ensure ROI. **PREFERRED JOB REQUIREMENTS** **:** + Knowledge of Medicaid and/or Medicare health plan and PBM operations. + Additional degrees or credentials ... our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan , pension plan , paid time off, paid parental… more
- Humana (San Antonio, 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 Nursing, LPN/LVN...provides medical, dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Molina Healthcare (Austin, TX)
- …Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management ... best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications * At… more