• Senior Project Manager

    Humana (Austin, TX)
    …the future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team. The ideal candidate will have a ... of project management principles and exceptional communication skills. The Senior Project Manager will collaborate with cross-functional...Plan + 401K - Excellent company match + Well-being program + Paid Volunteer Time Off If you share… more
    Humana (06/04/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Grand Prairie, TX)
    …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
    Elevance Health (05/30/25)
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  • Senior Case Manager

    Cardinal Health (Austin, TX)
    …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
    Cardinal Health (04/29/25)
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  • Senior Manager , Care Management LTC

    Healthfirst (TX)
    …members electronic record. + Participate in the Quality Management Program , identifying performance/process improvement opportunities and recommend studies for ... + Bachelors degree + Experience working as a care manager for long term care programs such as MAP...programs such as MAP or MLTC + Knowledge of Medicare Regulations related to Long Term Care + Experience… more
    Healthfirst (05/24/25)
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  • Senior Manager , Network Management,…

    CVS Health (Austin, TX)
    …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
    CVS Health (05/16/25)
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  • Senior Compliance Analyst (Interpretation…

    Prime Therapeutics (Austin, TX)
    …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
    Prime Therapeutics (06/06/25)
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  • Senior Manager , Strategic Planning…

    CVS Health (Dallas, TX)
    …Supports network teams in provider negotiations and financial risk for Commercial, Medicare , Medicaid, and IFP businesses. + Work directly with network, provides ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
    CVS Health (05/21/25)
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  • Clinical Manager RN

    HCA Healthcare (San Antonio, TX)
    …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... Do you have the career opportunities as a Clinical Manager RN you want with your current employer? We...Two years of experience within a licensed and certified ( Medicare ) home health agency requiredCompetent in Federal ( Medicare more
    HCA Healthcare (06/05/25)
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  • Home Health Clinical Manager

    HCA Healthcare (Austin, TX)
    …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... healthcare provider. We are seeking a(an) Home Health Clinical Manager to join our healthcare family. **Benefits** St. David's...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
    HCA Healthcare (05/02/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... individual is recognized. Submit your application for the opportunity below:Case Manager RNMethodist Hospital **This is a part-time weekends position (two 10-hour… more
    HCA Healthcare (05/28/25)
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