- CVS Health (Austin, TX)
- …Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
- Molina Healthcare (TX)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- CVS Health (Austin, TX)
- …to service performance, customer satisfaction, financial performance, and quality. The Sr . Manager will collaborate with upstream and downstream functional ... the PA programs across our book of business for Medicare , Commercial (Health Plan, Employer, Coalition) and Marketplace Exchange...that have delegated PA services to the PBM. The Sr . Manager may have 4-6 direct work… more
- Methodist Health System (Dallas, TX)
- …days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager ... MRMC, SLMC and MHS home office. Development objective: Learn the relationship of Medicare Laws, regulations, Program Memorandums, Program Manuals, CMS… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Vision, and Dental + Tuition Reimbursement + Company Matching 401K + Employee Reward and Recognition Program + Paid time off for vacation, sick, and holidays + ... on the team and be able to travel occasionally **Job Title: SR Coding Improvement Specialist** **Location: Pearland Administrative Office** **Department:** **KS Plan… more
- UTMB Health (Galveston, TX)
- Director of Finance Government Reimbursement ( Medicare , Medicaid) - Government Reimbursement **Galveston, Texas, United States** Executive - Business Professional ... degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement… more
- Prime Therapeutics (Austin, TX)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program ... growing the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing… more
- NTT America, Inc. (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements...paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally… more
- Humana (Austin, TX)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products for customer ... use. The Senior Product Manager work assignments involving moderately...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
- Gentiva (Lubbock, TX)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more