• Senior Coding Educator

    Humana (Austin, TX)
    …Experience interacting with healthcare providers + Ability to work independently + Medicare Risk Adjustment knowledge + Analyzing data to build unique education ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (12/23/25)
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  • Supervisor of Rehab Services

    HCA Healthcare (San Antonio, TX)
    …of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid, and appropriate licensing or certified boards. The supervisor is ... a therapist in the specific discipline of the supervisor. 4. Ensures Compliance with the conditions of participation, requirements or regulations of the following:… more
    HCA Healthcare (12/19/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Austin, TX)
    …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
    Evolent (12/18/25)
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  • Senior Digital Marketing Analyst

    Highmark Health (Austin, TX)
    …analytics skills, and deep understanding of healthcare customer journeys-including Medicare , Medicaid, Commercial, and provider engagement pathways. Experience with ... Expertise** + Understanding ofhealthcare marketing (enrollment flows, provider networks, Medicare AEP/OEP). + Familiarity with HIPAA, PHI, consent management, and… more
    Highmark Health (12/18/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Austin, TX)
    …states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (12/12/25)
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  • Therapy Access Manager (TX/AR/LA/MS)

    United Therapeutics (TX)
    …and UT's patient support program. Advise on patient level reimbursement issues in compliance with policies and well-defined Rules of Engagement. Abide in a compliant ... of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with...Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D) Job Location This… more
    United Therapeutics (12/03/25)
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  • Primary Care Physician

    CenterWell (Corpus Christi, TX)
    …two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (11/30/25)
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  • Field Medical Director, Oncology

    Evolent (Austin, TX)
    …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action… more
    Evolent (11/18/25)
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  • Technology Implementation Lead - Pharmacy Growth…

    Humana (Austin, TX)
    …together solution architects, product owners, engineering teams, operations and compliance stakeholders to ensure seamless, secure, and scalable integrations. This ... Success looks like faster time-to-launch, high client satisfaction, audit-ready compliance , and repeatable, scalable patterns. What you bring: healthcare/pharmacy… more
    Humana (12/12/25)
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  • Policy Governance Professional 2

    Humana (Austin, TX)
    …The Policy Governance Professional 2 policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's ... is responsible for preparing clear, accurate written materials to support compliance and continuous improvement initiatives. Responsibilities: + Assist with the… more
    Humana (01/08/26)
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