• Eisai, Inc (El Paso, TX)
    …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... US healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local… more
    HireLifeScience (08/26/25)
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  • Clinical Case Manager Behavioral Health

    CVS Health (Austin, TX)
    …travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy + Unencumbered Behavioral Health clinical license in the ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
    CVS Health (09/04/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Austin, TX)
    …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with… more
    Highmark Health (07/30/25)
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  • Provider Reimbursement Adm-Certified…

    Elevance Health (Houston, TX)
    …of legislative mandates to support draft development and/or revision of enterprise reimbursement policy . + Translates medical policies into reimbursement ... code and fee schedule updates, analyzing each new code for coverage, policy , reimbursement development, and implications for system edits. + Coordinates… more
    Elevance Health (09/04/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Austin, TX)
    …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
    Highmark Health (08/20/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Grand Prairie, TX)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement more
    Elevance Health (09/09/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    Associate Director of Finance - Government Reimbursement **Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # 2504131 ... The Associate Director ensures accurate and appropriate government payor reimbursement -related calculations and estimates and ensures UTMB compliance with Medicare… more
    UTMB Health (08/08/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Houston, TX)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** will support our Medicare ... **Audit & Reimbursement II** **Location:** This role enables associates to...onboarding and skill development. **_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
    Elevance Health (09/06/25)
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  • Field Reimbursement Manager Tzield…

    Sanofi Group (Dallas, TX)
    …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... Physician reimbursement experience + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion… more
    Sanofi Group (08/17/25)
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  • Medicaid Provider Hospital Reimbursement

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (09/09/25)
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