- Molina Healthcare (TX)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… 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
- 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
- Humana (Austin, TX)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must...+ This role is part of Humana's Driver safety program and requires an individual to have a valid… more
- 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
- 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
- BrightSpring Health Services (Arlington, TX)
- …+ Tuition Reimbursement- Advance your education with our support. + Employee Discount Program - Enjoy perks that extend beyond the workplace. *Position will be posted ... regard to calls/claims per hour as determined by the Director and Clinical Hub Manager + Provide clinical support to members of the RxAllow team regarding prior… more
- CVS Health (Austin, TX)
- …more compassionate. And we do it all with heart, each and every day. **Position Summary** Senior Manager - Vendor Data Management is a high impact role, you will ... years of management consulting experience or 5+ years of Medicare or Medicaid benefit and financial analytics experience required....for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Austin, TX)
- …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... Primary responsibilities include drafting, managing, and overseeing dental Medicaid and Medicare contracts across existing and new markets. This role involves… more
- 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