- Gentiva (Lubbock, TX)
- **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the Executive Director or Administrator. You will be ... new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed,… more
- Humana (Austin, TX)
- …surgery or hospitalization. The Home Solutions Finance team is seeking a Senior Financial Analytics Professional. This individual will work across the business, and ... performance of business and growth strategies. The position will work directly with senior management, including the Segment President, Senior Leaders and SVPs,… more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare -Medicaid plans)_** + **_Experience managing external audits and communicating with ... for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve moderately complex...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- CenterWell (Austin, TX)
- …delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
- Molina Healthcare (Austin, TX)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- NASCO (Austin, TX)
- **Overview** The Senior Corporate Counsel, Compliance & Commercial operates under general direction and is responsible for providing legal and regulatory guidance to ... laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on… more
- CenterWell (Austin, TX)
- …part of our caring community and help us put health first** The Senior Specialty Consultative Pharmacist processes and dispenses Specialty Rx medication. The ... Senior Specialty Consultative Pharmacist work assignments involve moderately complex...Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in… more
- CenterWell (Austin, TX)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more