• Senior Encounter Data Management Professional

    Humana (Austin, TX)
    …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looking for long-term improvements of encounter submission processes. Begins to… more
    Humana (08/15/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Austin, TX)
    …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid … more
    Prime Therapeutics (08/08/25)
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  • Lead Anaplan Architect

    Humana (Austin, TX)
    …own and evolve our enterprise-wide Anaplan platform across both Workforce Planning ( Finance ) and Workforce Management (HR) domains. This role requires a rare blend ... of functional and technical expertise, deep understanding of Finance and HR business processes, and the ability to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (08/09/25)
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  • Encounter Data Management Professional

    Humana (Austin, TX)
    …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looks for long term improvements of encounter submission processes. Understands… more
    Humana (08/22/25)
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  • Billing Supervisor

    Robert Half Finance & Accounting (Dallas, TX)
    …Collaborate with skilled nursing facility staff to verify resident levels. + Confirm Medicaid room and board rates while ensuring accurate billing system updates. + ... Verify nursing facility and hospital payments ( Medicaid room and board) and resolve discrepancies. + Work...We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and… more
    Robert Half Finance & Accounting (08/15/25)
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  • Principal, Financial Planning & Analysis,…

    Humana (Austin, TX)
    …business results across the CenterWell segment, both directly and through the Finance teams of each of the individual CenterWell businesses. This associate will ... to the enterprise. Key Responsibilities + Responsible for managing CenterWell level finance projects and / or deliverables that require input from multiple… more
    Humana (08/19/25)
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  • Senior Analyst, Medical Economics (Vbc) - Remote

    Molina Healthcare (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
    Molina Healthcare (08/31/25)
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  • AVP, Encounters

    Molina Healthcare (Fort Worth, TX)
    …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... influence across multiple organizational functions - Payment Integrity, Claims, Encounters, Finance , and Actuarial + Proven experience in managing complex projects,… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst, Healthcare Analytics (Risk…

    Molina Healthcare (Austin, TX)
    …analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care ... Advantage members, the HHS model for Commercial ACA members, the CDPS model for Medicaid members, and others as needed + Must have a strong attention to detail… more
    Molina Healthcare (07/17/25)
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  • Financial Planning and Analysis Professional

    Humana (Austin, TX)
    …and prepares statutory accounts, financial statements and reports. + Assists in Finance Department special projects, such as FTE trend analysis, payments to ... subcontractors, cost accounting, monitoring third party spend, and supporting monthly finance reviews. + Performs ad hoc requests from Senior Leaders, Operational… more
    Humana (08/27/25)
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