• Medicaid Eligibility Manager

    Cognizant (Austin, TX)
    …acting as a liaison among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of ... will lead employees who are working on-site at client locations throughout the USA and remote WFH associates. This position is WFH and requires some travel to be on… more
    Cognizant (05/29/25)
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  • Sr. Program Manager - Healthcare Enrollment…

    Molina Healthcare (Austin, TX)
    …collaborator responsible for operation projects and programs involving enrollment and eligibility + Works with cross-functional teams and IT and business subject ... needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides… more
    Molina Healthcare (04/17/25)
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  • Senior Functional Business Consultant/ Regulatory…

    Prime Therapeutics (Austin, TX)
    …Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
    Prime Therapeutics (04/25/25)
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  • Configuration Management Manager

    CVS Health (Austin, TX)
    …problem-solving abilities **Preferred Qualifications** Clinical Coding Experience - Content Manager Claim Processing Medicaid Working with SQL Application ... do it all with heart, each and every day. Remote : can work anywhere in the US **Position Summary**...: can work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing… more
    CVS Health (06/01/25)
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  • Vendor Management Analyst

    Pearson (Austin, TX)
    …path through this shifting environment to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main ... **Job Title: Vendor Management Analyst** **Location: Remote ** **At Pearson, we're committed to a world...+ Develop policies and procedures to guarantee compliance with Medicaid billing guidelines and eligibility criteria. *… more
    Pearson (06/03/25)
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  • Senior Case Manager

    Cardinal Health (Austin, TX)
    …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning… more
    Cardinal Health (04/29/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Austin, TX)
    …benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Starr County, Roma, TX, Rio Grande City, TX, ... needs for potential entry into a higher level of care and/or waiver eligibility , as applicable + Reviews member data to identify trends and improve operating… more
    Centene Corporation (05/30/25)
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  • Outpatient Coder

    HCA Healthcare (Austin, TX)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... **Description** **Introduction** This is a remote /work from home position. **Flexible Schedule! Full-time 40 Hour Work Week!** **Must have ACUTE CARE outpatient… more
    HCA Healthcare (04/11/25)
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