- Molina Healthcare (Houston, TX)
- …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Molina Healthcare (San Antonio, TX)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with ... the standards and requirements established by the Centers for Medicare and Medicaid. **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of… more
- Centene Corporation (Austin, TX)
- …filing and execution of the Medicare Supplemental dental, vision and hearing benefits . Program Manager will own a complex portfolio of designs, and directly ... the designs annually. Directly responsible for developing CMS filing guides for benefits . Program Manager IV is responsible for development, aspects of… more
- Molina Healthcare (Houston, TX)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Humana (Austin, TX)
- …and help us put health first** Humana is looking for a Medicaid Senior Project Manager to join the Project Management team! As a Medicaid Senior Project Manager , ... **Where you Come In** As a Medicaid Senior Project Manager , you will design, communicate and implement an operational...and the impacted business areas While this role 100% remote , candidates that reside within 50 miles of Louisville,… more
- Humana (Austin, TX)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...learn about a "Day in the Life" of our remote RN Care Managers. Day In The Life RN… more
- Molina Healthcare (Austin, TX)
- …and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and ... of MS Suite, organized and analytical thinking. Experience with Medicare /Medicaid, MS 365 and familiarity with claims is highly...and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume… more
- Centene Corporation (Austin, TX)
- …and meet company strategic objectives. + End-to-end development, filing and execution of the Medicare Supplemental benefits . Program Manager III will own a ... a fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by… more
- Molina Healthcare (Austin, TX)
- …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or equivalent combination of… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more