- Prime Therapeutics (Austin, TX)
- …department. Works to ensure established rules, policies, and procedures are implemented so that Medicare Part D operations are successful, efficient, ... drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs...Provides the technical and leadership skills that ensure successful Part D pharmacy operations and… more
- CVS Health (Austin, TX)
- …years of experience in Medicare Advantage actuarial pricing, bid development, and CMS Part C/ D operations . + 5+ years' experience working with CMS ... on enhancing pricing accuracy, optimizing bid strategies, and supporting Medicare operations through advanced analytics and actuarial...the development and execution of actuarial analytics strategies for Medicare Advantage and Part D … more
- HCA Healthcare (San Antonio, TX)
- …like family! Jump-start your career as a(an) Director of Nursing Operations today with Methodist Hospital Landmark. **Benefits** Methodist Hospital Landmark, offers ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...Come join our team as a(an) Director of Nursing Operations . We care for our community! Just last year,… more
- Molina Healthcare (Houston, TX)
- …data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations , and clinical teams-to ensure accurate and consistent data interpretation. ... + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the...of experience in data analytics, business intelligence, or healthcare operations + Foundational proficiency in SQL and exposure to… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member...on driving scalable, innovative initiatives with local market operations , clinical, and finance leaders that improve members health… more
- Apex Health Solutions (Houston, TX)
- …technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal) ... health experience or other work experience in an equivalent background such as Medicare Part D program. Certificates and Licenses: Current, unrestricted… more
- WelbeHealth (Austin, TX)
- …of capitation payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D ) along with PACE rates and regulatory ... all aspects of our revenue recognition model under ASC 606, revenue operations , control environment, and all required state and federal reporting requirements.… more
- Prime Therapeutics (Austin, TX)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... responsible for the strategic leadership and operational direction of Member Operations solutions related to interaction with Prime Therapeutics clients to… more
- Amazon (Austin, TX)
- …in PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D , and commercial innovation. - Bachelor's ... of Amazon Pharmacy About the team Payer relations business development is part of Amazon Pharmacy Partener Services, representing Amazon pharmacy with key… more
- Centene Corporation (Austin, TX)
- …background in Medicare , Medicaid, and/or Dual Eligible Special Needs Plans ( D -SNP). Preferred experience in writing and copy editing as well as Smartsheet and ... standards including design documents, test plans, training materials, and operations documentation **Education/Experience:** Bachelor's degree in Business Administration, Healthcare… more