- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level review and ... * Highly organized and self-driven. **Preferred Qualifications** * Knowledge of Medicare and commercial programs and related subject matter. **Education** Bachelor's… more
- Molina Healthcare (San Antonio, TX)
- …type management responsibility. 5 years progressive experience supporting a Medicaid,. Medicare and Marketplace or large claims processing environment with ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Prime Therapeutics (Austin, TX)
- …Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst (BSA) Sr is responsible ... resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and advance… more
- BAYADA Home Health Care (Austin, TX)
- …requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA ... Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...also available). **BAYADA Perks:** + This role is **fully remote ,** candidates may be based anywhere in the US… more
- Molina Healthcare (Fort Worth, TX)
- …diverse communities! Hours: Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25% field travel MA RN license **KNOWLEDGE/SKILLS/ABILITIES** + Assists in ... that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined… more
- Molina Healthcare (TX)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ** ... Medicare Appeals Clinical Leader** to lead service delivery engagements...delivery of services. This position is eligible for company benefits including medical, dental, and vision insurance with an… more
- Molina Healthcare (TX)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… more
- Molina Healthcare (Dallas, TX)
- …system requirements of customers as it pertains to contracting, benefits , prior authorizations, fee schedules, and other business requirements. ... complex MRDT and other configuration update scripts + Assists manager in establishing standards, guidelines, and best practices for...proof of concept tests without needing mentoring + Eg, Medicare Exclusion POC + Acts as a team lead,… more
- BAYADA Home Health Care (Austin, TX)
- …Apply now for immediate consideration. OASIS Review, Utilization Review, Quality Assurance, Remote , Home Health Coding, Coder, Medicare **As an accredited, ... opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely....they need. **BAYADA Perks:** + This is a fully remote , permanent salaried position. + Base Salary: **$74,000** /… more