- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level ... Office suite applications (eg, Outlook, Word, Excel, etc.). - Knowledge of Medicaid programs. * Solid decision-making skills while executing national, regional, and… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a ... needs, treatment plan adherence, and develop coping skills. The **Telephonic Case Manager ** will assess, plan, coordinate, implement, monitor, and evaluate the care… more
- Humana (Austin, TX)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
- CVS Health (Austin, TX)
- …experience + Knowledge of the regulations, standards, and policies which relate to Medicaid Care Management + Certified Case Manager (CCM) **Education** + **If ... heart, each and every day. **Position Summary** The Senior Manager Clinical Health Services is a key member of...to the Lead Principal Clinical Leader. This is a remote position. Eligible candidates may live anywhere in the… more
- Centene Corporation (Mcallen, TX)
- …benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Hidalgo County near McAllen, TX, Weslaco, TX, ... needs for potential entry into a higher level of care and/or waiver eligibility , as applicable + Reviews member data to identify trends and improve operating… more
- Centene Corporation (Austin, TX)
- …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… more
- American Heart Association (Dallas, TX)
- …Association has an excellent opportunity for a **Senior** **Healthcare Quality Measures Manager ** based out of our National Center office. This position is ... in monitoring relevant national programs such as the Center for Medicare/ Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and, Hospital Inpatient… more
- Centene Corporation (Austin, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **_ Fully remote role, candidate may reside in any state within the Continental US. ... Ideal candidate will have a strong background in Medicare, Medicaid , and/or Dual Eligible Special Needs Plans (D-SNP). Preferred...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Austin, TX)
- …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- Centene Corporation (Dallas, TX)
- …medical and social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers role ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more