- CVS Health (Irving, TX)
- …reporting, forecasting and analysis within the Aetna Better Health of Virginia Medicaid health plan. This role will require strong time management, organization, and ... have previous finance and accounting skills working in the healthcare field, Medicaid preferred. They will drive insightful reporting and be a collaborative member… more
- Highmark Health (Austin, TX)
- …role has a primary focus on workforce development initiatives specific to the Medicaid population. Responsibilities in this role include but are not limited to ... to leverage resources for education and employment, initiatives that support Medicaid work requirements, and development of programs to promote gainful employment,… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. **Centene is Hiring a Remote Psychologist - Join Our Oklahoma Medicaid Team!** Are you a licensed Psychologist with a passion for improving ... is seeking a **Remote Psychologist** to support our **Oklahoma Medicaid plan** . In this role, you'll play a...an active Oklahoma Psychologist license + Are familiar with Medicaid guidelines, prior authorization, and telehealth practices + Thrive… more
- Molina Healthcare (TX)
- …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee...for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality Assurance (NCQA) and/or other… more
- Cayuse Holdings (Austin, TX)
- …procurement transition and vendor management. + 7 Required Experience with Medicaid Enterprise Systems, including Medicaid Management Information Systems (MMIS). ... Demonstrated ability to meet tight deadlines. + 7 Required Experience with Medicaid business operations. + 7 Required Experience overseeing the planning and… more
- Cognizant (Austin, TX)
- …with stakeholders to design solutions, troubleshoot issues, and ensure compliance with Medicaid and Medicare requirements. **In this role, you will:** + Analyze, ... fee tables, and policy administration. + Experience building solutions for Medicaid QNXT benefit configuration matrix. + Strong troubleshooting skills for claim… more
- Humana (Austin, TX)
- …Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care ... formulary management and clinical programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Michigan Department of Health and Human… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing ... Medicaid member interaction, maximizing inbound and outbound touchpoints to...team has a drive to exceed the delivery of Medicaid Health care services. Focus is on the Hub's… more
- Molina Healthcare (Fort Worth, TX)
- …the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- CVS Health (Austin, TX)
- …support segment leaders with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make an impact by:** . Supporting the process ... for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing relationships with leaders of specialty chronic… more