- Humana (Austin, TX)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Austin, TX)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Molina Healthcare (TX)
- …subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, ... or other issues related to medical care costs. + Work with clinical, provider network and other personnel to bring supplemental context/insight to data analyses, and… more
- Prime Therapeutics (Austin, TX)
- …+ Collaborate with account leadership to build business cases, and at times, lead client-facing initiatives; provide input into, and client management support ... every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description**...through adoption and expanded use of Prime products and services + Facilitate regular meetings with client in the… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic ... leadership and operational oversight of Aetna's three primary provider portal solutions: Availity Commercial/Medicare Portal, Availity Medicaid Portal, and… more
- Texas A&M University System (Crockett, TX)
- …in a University vehicle. + Conduct community resource assessment + Serves as the lead community-based provider assistant and is responsible for the delivery of ... Job Title Community Based Provider Agency Texas A&M University Health Science Center...which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service . Who we are As one of the fastest-growing… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader… more
- Molina Healthcare (Austin, TX)
- …+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon… more