• AVP Financial Counseling

    Providence (TX)
    …the Revenue Cycle? If so, then we have the perfect opportunity for you to lead our Financial Counseling team! **The Role:** As the Associate Vice President (AVP) of ... as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000… more
    Providence (07/29/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Austin, TX)
    …in healthcare, pharmacy benefit management (PBM), pharmaceutical sales, analytical contracting or business development ; also to include: 4 years Trade / Rebates, ... with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director, Pharm Trade Relations leads a...interpretation, formulary modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
    Prime Therapeutics (08/08/25)
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  • Senior Director Ambulatory Services and Financial…

    Texas Health Resources (Arlington, TX)
    …member of senior management team and participates in strategic planning operations, new business development , etc. **Job Duties** Serves as a resource for ... Arlington, TX + Core work hours: Monday-Friday 8:00a-5:00p **Summary** The Finance Lead for Ambulatory/Virtual Operations will report directly to the SVP Channel… more
    Texas Health Resources (08/28/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Austin, TX)
    …plan development . + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health management. **Preferred** + ... include elements of project leadership, problem-solving, data analytics, team development , communication, implementation, and project management. The incumbent often… more
    Highmark Health (08/20/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Austin, TX)
    …Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. **PREFERRED EDUCATION:** Master's in Business Administration, ... the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support… more
    Molina Healthcare (08/28/25)
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  • OCM Consultant

    Public Consulting Group (Austin, TX)
    …of their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance An OCM ... consultant will focus on the people side of change, including changes to business processes, systems and technology, job roles and organization structures. * Apply a… more
    Public Consulting Group (09/03/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Grand Prairie, TX)
    …supports work-life integration, and ensures essential face-to-face onboarding and skill development ._ Please note that per our policy on hybrid/virtual work, ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior**… more
    Elevance Health (08/26/25)
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  • Summer 2026 MBA Internship- NBMBAA

    Humana (Austin, TX)
    …expect during your 12-week internship program** + **Strategic, High-Impact Work:** Lead meaningful projects aligned with critical business initiatives, designed ... students to contribute to enterprise level initiatives across a range of business functions. Interns will drive strategic projects, gain exposure to executive… more
    Humana (08/27/25)
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  • AVP, Duals Market Enablement (Remote)

    Molina Healthcare (Houston, TX)
    …across the enterprise and health plans. + Leads team to support business development opportunities, public policy positions in collaboration with enterprise ... competitive intelligence, and regulatory changes to inform strategic decisions. + Lead high-priority, cross-functional projects across the Medicare Business Unit… more
    Molina Healthcare (08/22/25)
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  • Ld Dir, PBM Underwriting

    CVS Health (Austin, TX)
    …channel, clinical, and other solutions. + Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid , Medicare, Exchanges) to provide ... Underwriting, Analysis and Strategy. In this role, you will lead a critical segment supporting a strategic PBM client...a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of… more
    CVS Health (09/02/25)
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