• Associate VP, Medicare & Medicaid…

    Humana (Austin, TX)
    …skills to make an impact** **Required Qualifications** + Bachelor's degree + Medicare Advantage /Medicaid-specific industry knowledge and experience + 7+ years of ... put health first** The Associate Vice President (AVP) of Medicare and Medicaid Encounter Submissions is responsible for the...teams + Experience in claims processing, encounters submissions, or Risk Adjustment + Experience with the IT… more
    Humana (10/24/25)
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  • Prin Div Strategy Consultant

    Health Care Service Corporation (Richardson, TX)
    …key performance indicators, trends, and financial acumen + Knowledge of Medicare Stars, Medicare Risk Adjustment , and Medicare Finance. + Strong ... **Preferred Job Qualifications:** + Health insurance or healthcare industry experience supporting Medicare Advantage + Knowledge of Medicare Advantage… more
    Health Care Service Corporation (10/08/25)
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  • Actuarial Consultant with Medicaid Experience

    Deloitte (Dallas, TX)
    …care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment + Support business development efforts for Federal and ... waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with Provider...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage … more
    Deloitte (10/10/25)
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  • Coding Education & Compliance Specialist - Rio…

    Health Care Service Corporation (Mcallen, TX)
    …health insurance or health care setting + Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail Exchange business ... on health plan coding initiative guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation. This position will… more
    Health Care Service Corporation (09/27/25)
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