- Molina Healthcare (Roma, TX)
- …LVN or Licensed Behavioral Health professional in Texas to join Molina as a Case Manager working with our Medicaid members in the service delivery area of Zapata ... an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology,… more
- Humana (Austin, TX)
- …**Requirements:** + Technical Systems thinker preferably with Cloud experience + Agile Program Manager tools experience expected such as ADO, Jira Align, ... other managers across the department include Executive Leadership. The IT Product Manager works with relevant Humana stakeholders to create, prioritize, and manage… more
- Prime Healthcare (Weslaco, TX)
- …United States in the various areas we serve: + Centers For Medicare & Medicaid Services (CMS) Five-Star Quality Rated + LeapFrog Hospital Safety Grade Straight A's ... (ACLS), and Pediatric Advanced Life Support (PALS). Responsibilities The Manager is responsible for planning, organizing and influencing department activities… 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 ... personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine...+ Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Molina Healthcare (Dallas, TX)
- …unrestricted Pharmacist license in good standing. + Must be free of sanctions from Medicaid or any other government program and without restrictions that would ... position requires a current South Carolina pharmacist license **Job Summary** The Pharmacy Manager , Health Plan Pharmacy Services is an integral role of the Health… more
- CVS Health (Austin, TX)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... yourself and others) skills **Required Qualifications** * Commercial, Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient… more
- Molina Healthcare (TX)
- …be licensed for the state of OHIO. This position will support our MMP ( Medicaid Medicare Population) with members in Nursing Facilities. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Centene Corporation (Corpus Christi, TX)
- …assessments and care coordination of formal healthcare/behavioral services with adults Medicaid recipients (18 - 65) . Experience managing high volume caseloads ... resiliency skills. . Experience working in FIELD based Case Manager /Social Worker roles is a PLUS . Experience working...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more