• Lead Medicaid Actuary ( Manager )

    Humana (Austin, TX)
    …needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and ... Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project management experience + In depth knowledge of capitation rate… more
    Humana (08/27/25)
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  • Medicaid Drug Strategy Pharmacist Lead

    CenterWell (Austin, TX)
    …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
    CenterWell (08/20/25)
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  • IT Business Systems Analyst Sr - Medicaid

    Prime Therapeutics (Austin, TX)
    …additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and ... we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst… more
    Prime Therapeutics (08/27/25)
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  • REMOTE Project Manager

    Insight Global (Richardson, TX)
    Job Description Our client, a Fortune 5 healthcare company is seeing a Project Manager to work on regulatory and compliance projects tied to medicare/ medicaid ... inititiaves. - Direct and coordinate resources to ensure project progressed on schedule and within budget. - Use...updates to senior leaders Experience on projects related to medicare/ medicaid null We are a company committed to creating… more
    Insight Global (07/15/25)
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  • Senior Project Manager

    Humana (Austin, TX)
    …future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team (known internally as a Senior IT ... Project Manager ). The ideal candidate will have...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (08/27/25)
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  • Senior Client Coding Project Manager

    Datavant (Austin, TX)
    …experiences to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. ... phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner with Customer Success… more
    Datavant (06/28/25)
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  • Project Manager III - Provider…

    Centene Corporation (Austin, TX)
    …Continental US. Ideal candidate will have a strong background in Medicare, Medicaid , and/or Dual Eligible Special Needs Plans (D-SNP). Preferred experience in ... defined requirements and meet company strategic objectives. + Manage the full project life cycle including requirements gathering, creation of project plans… more
    Centene Corporation (08/27/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
    Molina Healthcare (08/14/25)
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  • Supplemental Benefit Program Manager III

    Centene Corporation (Austin, TX)
    …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… more
    Centene Corporation (07/18/25)
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  • Manager of Clinical Operations

    Prime Therapeutics (Austin, TX)
    …**Job Posting Title** Manager of Clinical Operations **Job Description** The Manager Operations is responsible for operations and project support capacity ... teams. **Responsibilities** + Manage operations (via capacity and workload planning, project support planning, or project leadership) for immediate client… more
    Prime Therapeutics (08/31/25)
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