- Abbott (Austin, TX)
- …Our team in **Austin, TX (or Alpharetta, GA)** is looking for a ** Contract Strategy & Business Engagement Manager ** **.** This person will spearhead ... the development, execution, and optimization of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying… more
- Molina Healthcare (Fort Worth, TX)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... should be knowledgeable of and have experience with South Carolina Medicaid **Job Summary** Provides subject matter expertise and responsibility for oversight,… more
- Molina Healthcare (TX)
- …Claims and CIC coding experience (STRONGLY DESIRED)** + Experience with Medicare, Medicaid , and Marketplace lines of business. + Project Management Experience. ... goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits &… more
- 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
- Centene Corporation (Austin, TX)
- …benefits. Program Manager IV is responsible for development, aspects of contract and rate negotiations, developing complex benefits that support Medicaid ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- Centene Corporation (Austin, TX)
- …benefits. Program Manager III is responsible for development, aspects of contract and rate negotiations, developing complex benefits that support Medicaid ... End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly… more
- Molina Healthcare (Fort Worth, TX)
- …of experience in Healthcare (payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, Procurement, Project Management, or Account ... with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional… more
- UTMB Health (Galveston, TX)
- Manager , Coding & QA Clinical - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2504148 ... manages all coding activities related to clinical coding. The Manager of Coding ensures accurate and timely coding of...* Knowledge of federal and state collection laws, Medicare, Medicaid , and other third-party pay or regulatory requirements. *… more