• Medical Director - Medicare Grievances and Appeals…

    Humana (Austin, TX)
    …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate about contributing to ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Research Scientist 2

    Humana (Austin, TX)
    …to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Sr QNXT and NetworX Product Specialist

    Cognizant (Austin, TX)
    …Fee schedules, Service groups, etc. . Understand and build solutions for Medicaid - QNXT Benefit configuration matrix. . Conduct requirements discovery sessions with ... for right configuration by working with Business team . Familiarity with Medicaid and Medicare programs are minimum requirements. **Salary and Other Compensation:**… more
    Cognizant (09/06/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Austin, TX)
    …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about contributing to an ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/05/25)
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  • Senior Analyst, Business Analytics

    CVS Health (Austin, TX)
    …each and every day. **Position Summary** The Sr. Business Analyst supports Medicaid Enrollment Operations by making data accessible and actionable for teams and ... report on vendor performance data. + Familiarity with Medicare and Medicaid regulations. **Education** + Associates degree or equivalent experience. **Anticipated… more
    CVS Health (09/05/25)
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  • Procurement and Contract Manager

    Radiant Digital (Austin, TX)
    …specific information for the procurement documents. Provides high-level technical assistance to Medicaid & Chip Services (MCS), HHSC IT, and other HHSC staff ... for solicitations and resulting contracts. 5 Years (Preferred): Experience in Texas Medicaid . 5 Years (Preferred): Experience creating process flows for AS-IS and… more
    Radiant Digital (09/05/25)
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  • IT Procurement Technician

    Robert Half Technology (Austin, TX)
    …information for the procurement document + Provides high-level technical assistance to Medicaid & Chip Services (MCS), IT, and other staff regarding procurement ... and resulting contracts Preferred Qualifications: + 5 years' experience in Texas Medicaid + 5 years' experience creating process flows for AS-IS and TO-BE… more
    Robert Half Technology (09/05/25)
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  • Care Manager - Registered Nurse

    CVS Health (Austin, TX)
    …willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community resources and services. + Ability ... **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members. + Experience working with individuals with SDoH needs,… more
    CVS Health (09/05/25)
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  • Senior Business Analyst III

    Cayuse Holdings (Austin, TX)
    …and service + 12 yrs required: Demonstrable expertise with MITA ( Medicaid Information Technology Architecture), including practical application in complex system ... experience with Health and Human Services (HHS) integrated eligibility systems (eg, Medicaid , SNAP, TANF, CHIP). This includes a deep understanding of federal… more
    Cayuse Holdings (09/04/25)
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  • Associate Actuary

    Humana (Austin, TX)
    …for all Humana Insurance lines of business, with a primary focus on Medicaid . The Associate Actuary, Valuation will also assist with the development of premium ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/04/25)
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