- UTMB Health (Galveston, TX)
- …for directing staff in preparation of these reports. + Supports Director, Finance -Government Reimbursement in preparing annual Medicare, Medicaid and TDCJ net ... appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. + Supports Director, Finance -Government Reimbursement in… more
- Humana (Austin, TX)
- …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 ... **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's Medicaid … 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 care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
- Molina Healthcare (Austin, TX)
- …Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and ... impact of provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical… more
- Centene Corporation (Austin, TX)
- …for state insurance departments. **Education/Experience:** Bachelor's Degree in Finance , Business Administration, Actuarial Science or related field required. ... Master's Degree preferred. 10+ years of actuarial experience required. Knowledge of Health Care Reform (ACA) regulations and implications on actuarial services and risk management required. Previous management experience including responsibilities for hiring,… more
- Texas Health Resources (Arlington, TX)
- This VP Government Reimbursement & Medicaid Supplemental Payments directs, administers and coordinates activities related to reimbursement from Third-Party ... through various supplemental payment programs. The VP Government Reimbursement Medicaid Payments has the following duties and responsibilities: + Responsible… more
- Humana (Austin, TX)
- …and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to complex issues ... other business functions to implement formulary and medical strategies for the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care,… more
- Molina Healthcare (San Antonio, TX)
- …Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... oversight. + Collaborates with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies.… more
- Texas Health Resources (Arlington, TX)
- …Resources, 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 as it grows and evolves. The position will also provide finance leadership for ambulatory Pharmacy. The incumbent will serve as the financial… more
- Molina Healthcare (Dallas, TX)
- …oversight. + Collaborate with operational teams, enterprise stakeholders, and finance partners to proactively identify issues and implement resolution strategies. ... requirements, workflows, and solutions that drive measurable improvement. + Partner with finance and compliance to develop business cases and support reporting that… more