• Associate Vice President, Medicaid Data…

    Humana (Austin, TX)
    …and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for leading the strategic development ... and execution of technology solutions that advance Medicaid business objectives. This executive role acts as a...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (12/05/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    …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 Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (12/02/25)
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  • Medicaid State Technology Lead

    Humana (Austin, TX)
    …all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their ... organization and across Medicaid IT to drive faster and more streamlined delivery...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (11/20/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …and other reference sources. Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and will understand how to ... an inpatient and/or outpatient environment and/or related to care of a Medicaid population (TANF and expansion populations). + Current and ongoing Board… more
    Humana (10/25/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Austin, TX)
    …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary, Analytics/Forecasting ensures data integrity by… more
    Humana (11/20/25)
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  • Senior Network Optimization Professional

    Humana (Austin, TX)
    …network contracting governance, process development, and data governance for Ohio Medicaid , including contracting requirements and data integrity as required in the ... Ohio Medicaid Provider Agreement and internal reporting compliance. This role...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
    Humana (12/02/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Austin, TX)
    …may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical reference materials, internal teaching conferences, and ... Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and Medicaid requirements, and will understand how to operationalize this knowledge in… more
    Humana (11/11/25)
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  • Encounter Data Management Lead

    Humana (Austin, TX)
    …for ensuring the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states, while maintaining adherence to all regulatory requirements. ... Management Lead is responsible for ensuring the integrity and accuracy of Medicaid and Medicare encounter data across multiple trading partners. This role… more
    Humana (11/26/25)
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  • Senior Acquisition Integration Professional

    Humana (Austin, TX)
    …health first** The Senior Acquisition Implementation Professional manages all aspects of Medicaid State Implementations, from start to finish, so that it is ... internal stakeholders. The Senior Acquisition Implementation Professional manages all aspects of Medicaid State Implementation, from start to finish, so that it is… more
    Humana (11/15/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Austin, TX)
    …conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid , and Medicare Advantage requirements and will understand how to ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
    Humana (11/24/25)
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