- Centene Corporation (Austin, TX)
- …of the Medicare Supplemental dental, vision and hearing benefits. Program Manager will own a complex portfolio of designs, and directly responsible for ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and… more
- 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 ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
- Molina Healthcare (Fort Worth, TX)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- CVS Health (Austin, TX)
- …available for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager . This position will be a part of a specialized team who ... achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market....Advantage & DSNP products within the assigned market. The manager will support their team with a proven ability… more
- Molina Healthcare (TX)
- …review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare ... Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and… more
- Centene Corporation (Austin, TX)
- …meet company strategic objectives. + End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex ... fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing,… more
- Molina Healthcare (Houston, TX)
- …members, and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare ... Molina Healthcare is hiring on our outbound Medicare Member Engagement team. This role is remote...and will work 8am to 430pm Pacific Standard Time. Medicare Member Engagement Specialists will be making outbound welcome… 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
- Molina Healthcare (San Antonio, TX)
- …monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and compliance ... in deploying and monitoring big data infrastructure with Ambari, Cloudera Manager , and Zookeeper. * Solid understanding of data warehousing, data validation,… more
- Molina Healthcare (Houston, TX)
- …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more