- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... 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
- 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 ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Humana (Austin, TX)
- …our caring community and help us put health first** Job Description Summary The Senior Product Manager Conceives of, develops, delivers, and manages products for ... customer use. The Senior Product Manager work assignments involve moderately...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** The Vendor Account Senior Manager role encompasses ownership of managing relationships with third-party ... cost savings, process improvements, or consolidation. + **Project & Program Management:** + Identify project stakeholders, establish effective communication… more
- CVS Health (Austin, TX)
- …Qualifications** + Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare -Medicaid Integrated Product Experience + Experience with Part ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- CVS Health (Austin, TX)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare -Medicaid plans)_** + **_Experience managing external audits and communicating with ... leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead… more
- Abbott (Austin, TX)
- …(https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU ... than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and managing… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- Waystar (Austin, TX)
- **ABOUT THIS POSITION** Waystar is seeking a Senior Product Manager to join the team. Reporting to the Vice President, Product Strategy, you will be responsible ... that ensure marketing leading position. + Operating at a senior level, define product vision and strategy aligned with...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CVS Health (Austin, TX)
- …current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.** **Required Qualifications** **3+ year healthcare ... benefit administrators)** **5+ years of experience in government programs (Medicaid, Medicare )** **Adept at problem solving and decision-making skills** **Adept at… more
- CenterWell (Austin, TX)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Austin, TX)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Austin, TX)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- CenterWell (Austin, TX)
- …is not guaranteed. There also may be opportunity to cover other aspect of the program , such as covering PTO for APPs in CenterWell Medical group (phase 1). There are ... **Knowledge of HEDIS measures and quality indicators** **Experience managing Medicare Advantage panel of patients with understanding of Best Practice… more
- Baylor Scott & White Health (Round Rock, TX)
- …and BSWH policies and ensures the implementation of a clinical compliance program for assigned area of the organization. Develops and implements strategies, ... such as the Joint Commission and the Centers for Medicare and Medicaid (CMS). Responds and reacts to changes...larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors… more