- Molina Healthcare (Austin, TX)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (Austin, TX)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Director of Regulatory Compliance develops and implements compliance programs aimed at governmental ... requirements and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance… more
- Molina Healthcare (Austin, TX)
- …without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Evolent (Austin, TX)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Austin, TX)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Austin, TX)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- HCA Healthcare (Austin, TX)
- …Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Director of Infection Prevention with St. David's North Austin Medical Center, ... Eligibility for benefits may vary by location._** Come join our team as a(an) Director of Infection Prevention. We care for our communities and employees! HCA Hope… more
- Evolent (Austin, TX)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- HCA Healthcare (Austin, TX)
- …that number growing to nearly 8,000 by 2028. The Central/ West Texas Division Director of Research Administration will lead a team of research support personnel ... large health care data sets including, electronic health records, Medicare claims, or other health care claims data sets...colleagues. Do you want to work as a(an) Division Director of Research GME where your passion for creating… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Analytics **Job Description** The Senior Director Analytics is responsible for ... without compromising quality **Preferred Qualifications** + Master's Degree in Business Administration , Statistics, Math or related field + Experience in software… more
- Molina Healthcare (Austin, TX)
- …and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and ... EDUCATION** : Bachelor's Degree in a related field (Business Administration , etc.) or equivalent experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**… more
- CVS Health (Austin, TX)
- …editing rules and guidelines to ensure proper coding and payment. The lead director manages a team of claim editors, develops and implements claim editing ... of Nursing in a related field, such as healthcare administration , business, or a related field. + Certified Professional...ACAS and/or HRP Claim review and expertise. + Commercial, Medicare and IFP expertise/experience around the product and line… more
- CenterWell (Austin, TX)
- …to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of working ... the organization. + Bachelor's degree in business in business, healthcare administration , or related field. **Knowledge, Skills, and Abilities:** + Comprehensive… more
- Highmark Health (Austin, TX)
- …to be used across the segments (Commercial FI, Commercial ASO, ACA, and Medicare ). + Other duties as assigned or requested. **EXPERIENCE** **Required** + 7 years ... = 4 year degree) **Preferred** + Master's degree in Business Administration , Business Management, or Financial field **LICENSES or CERTIFICATIONS** **Required** +… more
- Molina Healthcare (Austin, TX)
- …between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state ... outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations, develops health plan-specific provider… more
- Molina Healthcare (Austin, TX)
- …Degree in preferred field: Nursing, Social Work, Clinical Quality, Public Health, or Healthcare Administration + 1 year of experience in Medicare and in Medicaid ... quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community quality… more
- HCA Healthcare (Austin, TX)
- …of Care under the direction and supervision of a Registered Nurse and/or Director , Professional Services. Performs all functions in a professional and ethical manner ... or changes in the patient's condition to the supervising RN and/or Director of Professional Services and the physician and documents all findings, communications… more