- 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
- Sumitomo Pharma (Austin, TX)
- …highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the ... Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a… more
- Molina Healthcare (TX)
- …advancing Molina's growth strategy and positioning the company for success in Medicaid , CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President, ... the VP, Business Development. This role requires a deep understanding of Medicaid programs, the regulatory environment, and the unique challenges of populations (ie… more
- Humana (Austin, TX)
- …Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business ... state and local levels. The Strategy Advancement Advisor works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies… more
- Humana (Austin, TX)
- …first** We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. Evaluates economic, financial, and market trends to forecast ... requires an in-depth evaluation of variable factors. The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers,… more
- 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 (Austin, TX)
- …our caring community and help us put health first** The Senior Product Owner ( Medicaid ) is responsible for conveying product vision and roadmap to an Agile delivery ... in-depth evaluation of variable factors. The Senior Product Owner ( Medicaid ) maximizes the value of products created by Agile...+ Experience in Encounter Data Submissions. + Experience in Medicare/ Medicaid products. + CAS + X12 + SQL **Additional… more
- Elevance Health (Grand Prairie, TX)
- **Director Medicaid Plan Marketing** **Location:** 2505 N HWY 360, Grand Prairie TX. Relocation assistance offered. This role requires associates to be in-office 3 ... of virtual work, promoting a dynamic and adaptable workplace. The **Director Medicaid Plan Marketing** is responsible for the planning and direction of specific… more
- Zelis (Plano, TX)
- …personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... communicating rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of… more
- Humana (Austin, TX)
- …caring community and help us put health first** The MBA Intern - Illinois Medicaid (Part-time, Fall 2025) will contribute as a team member while completing a ... Experience in consulting and healthcare industry, preferably in Medicare and/or Medicaid + Professional experience in finance, clinical quality, innovation, social… more