• Medicaid State Technology Lead

    Humana (Austin, TX)
    …all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their ... organization and across Medicaid IT to drive faster and more streamlined delivery...solution recommendations in support of state-level initiatives. + Supports Medicaid IT leadership in preparing readiness review materials. +… more
    Humana (09/03/25)
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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 Quality Testing Engineer

    Humana (Austin, TX)
    …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 responsible for ... including requirements gathering, design, implementation, testing, and maintenance. The Medicaid Quality Testing Engineer will provide leadership and mentorship in… more
    Humana (09/03/25)
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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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  • Associate Director, Medicaid Trend

    Humana (Austin, TX)
    …professional associates. This role will lead a small team within the Medicaid Trend Analytics organization responsible for ROI analyses for new operational ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicaid experience + Trend / healthcare analytics experience + Proficiency… more
    Humana (09/03/25)
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  • Associate Actuary - Medicaid Trend

    Humana (Austin, TX)
    …cost, improving member health outcomes, or otherwise producing value within Humana's Medicaid block of business. Important skills include: - ability to critically ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicaid experience + SAS/SQL experience + Databricks experience + Experience… more
    Humana (09/03/25)
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