- 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
- CVS Health (Austin, TX)
- …lines of business. Reporting to the Lead Director of Healthcare Quality Management, the Senior Manager will lead a team responsible for measure strategy, roadmap ... leadership role overseeing strategy and implementation of HEDIS and Medicare Stars measures. This position sits within the Aetna...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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
- 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
- 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)
- …experience in West coast region states a plus - Experience in commercial, Medicare and Medicaid lines of business ideal **Education** Bachelor's Degree or equivalent ... 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
- Humana (Austin, TX)
- …interventions and/or care management operations. + Prior experience or exposure to Medicare Stars Program . + Experience leading cross-functional group of ... help us put health first** Join Humana as a Senior Strategy Advancement Professional and play a pivotal role...pivotal role in shaping innovative strategies for our high-needs Medicare Advantage and SNP populations. In this impactful position,… more
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program , with hands-on experience in Dual Eligible Special ... 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
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary:** As a Product manager , you will provide technical, analytical, and business support for all assigned ... programs for Medicare , Medicaid, and Commercial products. Programs currently include End-Stage...programs assigned and be able to explain and present program functionality from a system logic perspective as well… more
- Humana (Austin, TX)
- …community and help us put health first** The Third Party Cybersecurity Risk Manager 2 designs and manages strategies and initiatives to manage cybersecurity risks ... risk to Humana's cybersecurity risk posture. The Third Party Cybersecurity Risk Manager 2 work assignments are varied and frequently require interpretation and… 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)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… 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
- Humana (Austin, TX)
- …and operationalize opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance and savings ... and interventions and/or care management. + Prior experience or exposure to Medicare Stars Program . **Additional Information** + **Workstyle:** remote, work from… more
- CVS Health (Austin, TX)
- …the delivery of high quality care to the Medicare population. As a Senior Product Manager within the Patient Experience and Service Operations domain, you ... medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated… more