- Health Care Service Corporation (Richardson, TX)
- …for providing leadership and oversight of the Pharmacy function that supports Medicaid & Individual Markets lines of business. Responsible for improving the quality ... of care related to various State and CMS quality measures measures . Role will...support the coordination of health care delivery functions within Medicaid and Individual and Family Markets. The role will… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** Associate Director of Project Management to join the Readiness and Recovery team, focusing on ... experiences, drive transformation, and support enterprise goals. The Associate Director will ensure alignment of project initiatives with business objectives,… more
- Sumitomo Pharma (Austin, TX)
- …Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the US (Sumitomo Pharma America, Inc.), focused on addressing patient needs ... motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will...a timely manner. This person will deliver product, disease state and resource education to payers and policymakers to… more
- Humana (Austin, TX)
- …and help us put health first** Humana is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership team. In this ... multiple project teams + Possess a solid understanding of operations , technology, communications and processes + Six Sigma certification...contractors who live and work from home in the state of California will be provided payment for their… more
- Molina Healthcare (Houston, TX)
- …values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, staffs, and coordinates the Provider Contracts ... activities for the state health plan. Works with direct management, senior leadership/management,...functions and team members. Responsible for leading the daily operations of the department working collaboratively with other operational… more
- BrightSpring Health Services (San Angelo, TX)
- …monitoring operations to ensure compliance with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as ... related services/training programs on a routine basis in cooperation with Operations management; monitoring both skilled and non-skilled healthcare services +… more
- HCA Healthcare (San Antonio, TX)
- …of participation, requirements or regulation of the following: JCAHO, Medicare, Medicaid , Texas State Licensures and Certifications as requires. **What ... team. **Job Summary and Qualifications** General Statement of Duties: Manages the daily operations of the department and ensures that the patient care in his/her… more
- HCA Healthcare (San Antonio, TX)
- …conditions of participation, requirements or regulations of the following: JCAHO, Medicare, Medicaid , Texas State Licensures, and Certification as required. 5. ... the organization and meets the requirements or regulations of JACHO, Medicare, Medicaid , and appropriate licensing or certified boards. The supervisor is responsible… more
- Danaher Corporation (Dallas, TX)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... Communicate regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer… more
- Molina Healthcare (Houston, TX)
- …review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual related tasks to ... + Manages the daily process of member exceptions from state eligibility file and takes appropriate action to ensure...coordination of meeting materials with Health Plan Compliance and Operations VPs for multiple states. + Subject Matter Expert… more
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