- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy team, which supports senior ... initiatives to transform the Company. **Job Duties** + Develops enterprise strategy , driving growth strategies for current business units + Leads high-priority… more
- Highmark Health (Austin, TX)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** As part of the enterprise strategy to integrate and scale pharmacy solutions that disrupt the pharmacy supply ... responsible for the execution and value realization related to strategy development, operational excellence, pricing optimization, vendor coordination, and assisting… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- NASCO (Austin, TX)
- …parent's Enterprise Compliance Office. This role will have oversight responsibility for Medicare Advantage and ACA Exchanges strategy and executive relationship ... **Overview** As Executive Director , Compliance you will lead and provide oversight...Medicare Advantage and Exchange customers, including contract management, strategy development, operational delivery and invoicing + Engages with… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... evolution of value-based care (VBC) programs across all lines of business-Medicaid, Medicare , and Marketplace. This role is critical in driving clinical and… more
- Humana (Austin, TX)
- …of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy , and identifying improvement opportunities for a ... projects from concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting, and audits for the Baylor Scott & White Health Plan across Medicare , Medicaid, Commercial and Exchange populations. The Director will be responsible ... **Position Overview:** The Director of Quality Analytics & Audit will lead...Texas Health and Human Services Commission (HHSC), Centers for Medicare and Medicaid Services (CMS), and Texas Department of… more
- Elevance Health (Houston, TX)
- **Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ... our Elevance Health PulsePoint locations._ The **Provider Network Management Director ** is responsible developing provider networks through contract negotiations,… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Director of Innovation & Chief of Staff to the SVP, MSO & Medical Business Leader provides ... strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing...the center of. Come join us! **The Role** The Director of Innovation & Chief of Staff will work… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy , function and operations of the Case Management & Social Work ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more