- Humana (Austin, TX)
- …for understanding the priorities of all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements ... and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and operating...best practice changes within their organization and across Medicaid IT to drive faster and more streamlined delivery… more
- 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 ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex… more
- Humana (Austin, TX)
- …across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager ... and maintain team best practices such as peer review and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job ... bridge between the business systems analyst team, business stakeholders, development team, broader project team...the Lead to drive towards resolution + Lead work direction of analysts and/or business ,… more
- Humana (Austin, TX)
- … Medicaid Market, developing a deep understanding of Humana's Medicaid strategy, capabilities, business drivers, data analytics infrastructure, operational ... 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… more
- Humana (Austin, TX)
- **Become 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 ... including requirements gathering, design, implementation, testing, and maintenance. The Medicaid Quality Testing Engineer will provide leadership and mentorship in… more
- Zelis (Plano, TX)
- …Excel) + Interact with regulators and clients to determine and document business requirements. + Lead pricer maintenance, quality assurance activities, audits, ... the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product… more
- Molina Healthcare (Austin, TX)
- …and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare ... hoc analyses as requested. Responsible for staff time keeping, performance coaching, development , and career paths. + Extract and compile information from various… more
- Molina Healthcare (TX)
- …directing technical and business resources during all phases of the software development life cycle + Gains a deep understanding of Molina claims life cycle and ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations… more
- Pearl Interactive Network (El Paso, TX)
- **Pearl Interactive Network is seeking to hire a Remote** **Vice President of Business Development .** The **Vice President of Business Development (VP ... and mitigate risks. + Drive continuous improvement initiatives to optimize business development processes and enhance efficiency and effectiveness. +… more