• Associate Director, HEDIS Operations…

    Humana (Austin, TX)
    …determine, and oversee execution of, numerous strategies required to ensure success for our Medicare Stars and Medicaid LOBs. The ideal candidate for this role ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/21/25)
    - Related Jobs
  • RN Care Manager - Remote, nationwide

    Humana (Austin, TX)
    …day to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid , and/or and Group Account members and create actionable ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/19/25)
    - Related Jobs
  • Regulatory Analyst Sr - Remote

    Prime Therapeutics (Austin, TX)
    …processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid , and Health Insurance Marketplace for the assigned ... regulations into operational requirements **Preferred Qualifications** + 2 years Medicare Part D, Medicaid , and/or state or...Qualifications** + 2 years Medicare Part D, Medicaid , and/or state or federal regulatory experience + Prior… more
    Prime Therapeutics (11/19/25)
    - Related Jobs
  • Product Owner, Health sciences- Consulting Manager

    Cognizant (Austin, TX)
    …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid , ACA), ensuring compliance with CMS, ACA, and ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid , ACA). . Strong understanding of CMS, ACA, and… more
    Cognizant (11/15/25)
    - Related Jobs
  • Product Owner, Health Sciences - Consulting…

    Cognizant (Austin, TX)
    …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid , ACA), ensuring compliance with CMS, ACA, and ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid , ACA). * Strong understanding of CMS, ACA, and… more
    Cognizant (11/15/25)
    - Related Jobs
  • Code Edit Disputes Medical Coder

    Humana (Austin, TX)
    …Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/14/25)
    - Related Jobs
  • Principal Solution Strategist - JUDI - Remote

    Prime Therapeutics (Austin, TX)
    …currently on the lookout for a Principal Solution Strategist to help lead the Medicare and Medicaid migrations for the JUDI program.** **Job Description** The ... collaborative or independent problem solving **Preferred Qualifications** + PBM/health experience + Medicare , Medicaid , CMS background + Desire to be a SME… more
    Prime Therapeutics (11/08/25)
    - Related Jobs
  • Salesforce Business Analyst

    ABBTECH Professional Resources, Inc. (Austin, TX)
    …Client requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business ... Owner or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance/heath care experience * * Experience… more
    ABBTECH Professional Resources, Inc. (11/06/25)
    - Related Jobs
  • Special Needs Plan- Support Social Services

    Humana (Austin, TX)
    …Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/06/25)
    - Related Jobs
  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Austin, TX)
    …Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical Demands** +… more
    Prime Therapeutics (10/24/25)
    - Related Jobs