- Usaa (Plano, TX)
- …with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services) rules to provide guidance and clarification to executive and ... to improve sales productivity and exceed departmental goals. Conducts data analysis to influence strategy to achieve business outcomes....this position is: $114,080 - $218,030 USAA does not provide visa sponsorship for this role. Please do not… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- Humana (Austin, TX)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Molina Healthcare (TX)
- …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Humana (Austin, TX)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- CVS Health (Austin, TX)
- …the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing relationships with leaders of ... chronic kidney, oncology, polychronic/complex care, and emerging specialty types) or Medicaid provider organizations to design and execute on strategies… more
- Health Care Service Corporation (Richardson, TX)
- …Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with ... external stakeholders + Experience with strategic planning, financial and data analysis, and research + Working knowledge of various...and expertise. + Commercial, Affordable Care Act knowledge and/or Medicaid MCO. + Knowledge a plus. **This is a… more
- CVS Health (Irving, TX)
- …cost-saving opportunities, and revenue growth strategies. + Ability to identify trends in data analysis and report key findings to manager + Prepare complex ... heart, each and every day. **Position Summary** As a Manager of Finance, you will be responsible for financial...and analysis within the Aetna Better Health of Virginia Medicaid health plan. This role will require strong time… more
- Abbott (Austin, TX)
- …+ Review clinical investigative plan and payer policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement guidance ... than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and managing… more
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