• Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (08/14/25)
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  • Medicaid Drug Strategy Pharmacist Lead

    CenterWell (Austin, TX)
    …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
    CenterWell (08/20/25)
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  • Director, Financial Planning & Analysis (CFO)…

    Humana (Austin, TX)
    …of financial operations for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit ... **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's Medicaid … more
    Humana (08/26/25)
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  • Medicaid Eligibility Advocate

    HCA Healthcare (San Antonio, TX)
    …Do you want to join an organization that invests in you as a Medicaid Eligibility Advocate? At Parallon, you come first. HCA Healthcare has committed up to ... make a difference. We are looking for a dedicated Medicaid Eligibility Advocate like you to be a part...part of our team. **Job Summary and Qualifications** The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings,… more
    HCA Healthcare (08/30/25)
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  • Medicaid Pricing Actuary

    Humana (Austin, TX)
    …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...scope and complexity ranging from moderate to substantial. The Medicaid Pricing Actuary may be responsible for any combination… more
    Humana (08/27/25)
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  • Lead Medicaid Actuary (Manager)

    Humana (Austin, TX)
    …support across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in ... review and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation rate review, drafting rate advocacy communications,… more
    Humana (08/27/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Austin, TX)
    …of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT ... strategy. **This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with one additional state.** **Responsibilities** **Market… more
    Humana (08/26/25)
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  • Sr. Medicaid Regulatory Pricer Analyst

    Zelis (Plano, TX)
    …the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product ... communicating rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of… more
    Zelis (08/27/25)
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  • Business Information Analyst Senior…

    Elevance Health (Grand Prairie, TX)
    **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare ... encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data, identifying trends,… more
    Elevance Health (08/26/25)
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  • Medicaid Enrollment Data Entry

    Elevance Health (Grand Prairie, TX)
    ** Medicaid Enrollment Data Entry** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, ... not eligible for current or future VISA sponsorship._ The ** Medicaid Enrollment Data Entry** is responsible for daily business...+ Experience with Facets or WGS + Experience with Medicaid applications For candidates working in person or virtually… more
    Elevance Health (08/26/25)
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