- Wolters Kluwer (Coppell, TX)
- …sources (CMS, FDA, etc.) covering drug control/compliance programs, covered programs (Medicare/ Medicaid ) and other government drug-related policy and program ... **Lead Technology Product Manager ** - Commercial Drug Information This role follows...role includes up to 15% travel, typically up to 3 US travel activities per quarter (2- 3 … more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria,… 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 ... Replacement + Five Star Rated for Joint Replacement and Total Knee Replacement for 3 years in a row + Five-Star Recipient for Pacemaker Procedures + Five-Star… 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
- Centene Corporation (Corpus Christi, TX)
- …Alice, Driscoll, Bishop, or Falfurrias, TX** **Hybrid Role: Work from home and travel 3 days per week for IN-PERSON visits with ADULT members** **Monday - Friday ... assessments and care coordination of formal healthcare/behavioral services with adults Medicaid recipients (18 - 65) . Experience managing high volume caseloads… more
- Centene Corporation (Austin, TX)
- …VBC contract management. + Monitors VBC performance under risk arrangements for Medicaid and Medicare product lines. + Performs data analysis and develops specific ... large physician/provider organizations. Required 1+ year of management experience or 3 + years of Supervisory, or Lead/Sr. role with demonstrated leadership ability… more
- CVS Health (Austin, TX)
- …Product Innovation team, functional and divisional leaders. **Required Qualifications:** + 3 + years of experience including some combination of product development, ... Microsoft Office. **Preferred Qualifications:** + Experience working with Medicare or Medicaid programs or products. + Experience with regulatory requirements. +… more
- HCA Healthcare (Corpus Christi, TX)
- …for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of service) + Employee Stock Purchase Plan ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Mckinney, TX)
- …for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of service) + Employee Stock Purchase Plan ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more