• VP Government Programs - Medicare & Managed…

    Prime Therapeutics (Austin, TX)
    …every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government ... Programs - Medicare & Managed Medicaid is responsible for the development,...of strategic plans that advance Prime's position in the Medicare space. This position has accountability for the … more
    Prime Therapeutics (10/08/25)
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  • Senior Program Manager, Medicare Stars…

    Molina Healthcare (Houston, TX)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
    Molina Healthcare (10/17/25)
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  • Sr. Medicare Associate

    Sedgwick (Fort Worth, TX)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Medicare Associate **Job Description** + Set up new Medicare Lien Resolution ... Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ...index Medicare mail in the SIR and Medicare Compliance systems + Responds to questions from examiners… more
    Sedgwick (11/12/25)
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  • Medicare Compliance Analyst

    Molina Healthcare (San Antonio, TX)
    **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a ... **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsible for Medicare Oversight. + Provide regulatory expertise to the Organization:… more
    Molina Healthcare (11/27/25)
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  • Behavioral Health Medical Director…

    Humana (Austin, TX)
    …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
    Humana (11/11/25)
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  • Medical Director, Nat'l OP Medicare

    Humana (Austin, TX)
    …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
    Humana (11/07/25)
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  • Bilingual Medicare Sales Field Agent…

    Humana (Pearland, TX)
    …and Pearland.** The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based** role, and candidates ... community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance...**Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental,… more
    Humana (11/21/25)
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  • Medicare Member Engagement Specialist…

    Molina Healthcare (San Antonio, TX)
    …of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, ... database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular… more
    Molina Healthcare (11/13/25)
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  • Senior Manager - Medicare Stars Program…

    CVS Health (Austin, TX)
    …all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor role you will ... and clinical teams. + 5+ years of work experience supporting Medicare or Healthcare/Pharmacy Quality business processes. **Preferred Qualifications** + 2+ years… more
    CVS Health (11/27/25)
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  • Medicare Bid Optimization Principal…

    Health Care Service Corporation (Richardson, TX)
    …that will invest in your professional development. **Job Summary** The Medicare Advantage Bid Optimization Principal Divisional Strategy Consultant will support MA ... position is responsible for assisting with leading the team with all Medicare Advantage short-term and multi-year planning, assisting the leadership team on… more
    Health Care Service Corporation (11/23/25)
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