- Humana (Austin, TX)
- …**Required Qualifications** + Bachelor's degree in healthcare administration, public health , information systems, business, policy administration or related ... part of our caring community and help us put health first** The State Technology Lead understands departmental and...their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice… more
- Elevance Health (Grand Prairie, TX)
- …Experience with Medicaid data preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement ... **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior**...distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- Humana (Austin, TX)
- …of Health partners. Applies keen insight regarding the current Medicaid healthcare regulatory environment and competitive environment, and how the components of ... + Build and maintain relationships with Commonwealth Department of Health partners. + Stay informed on Medicaid ...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial ... and business needs for Medicaid product lines. The Actuary works on problems of...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Lead Actuary provides support across a broad range of actuarial, managerial, and business ... needs for Medicaid -specific product lines. The Lead Actuary will serve as...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medicaid Quality Testing Engineer will serve as a technical and strategic leader ... including requirements gathering, design, implementation, testing, and maintenance. The Medicaid Quality Testing Engineer will provide leadership and mentorship in… more
- CVS Health (Austin, TX)
- …initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ... At CVS Health , we're building a world of health...processes and data governance. + Experience with audit preparation, policy development, and corrective action planning. **Preferred Qualifications** +… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Associate Director, Actuarial Analytics/Forecasting analyzes and forecasts financial, ... This role will lead a small team within the Medicaid Trend Analytics organization responsible for ROI analyses for...+ MAAA + 5+ years of actuarial experience in health insurance + Strong Communication Skills + Experience in… more
- Humana (Austin, TX)
- …member health outcomes, or otherwise producing value within Humana's Medicaid block of business. Important skills include: - ability to critically think ... **Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... 5 days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
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