• CDQI Nurse Specialist - Part Time - Remote

    Datavant (Austin, TX)
    …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
    Datavant (11/11/25)
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  • Transplant Care Nurse ( Remote )

    Highmark Health (Austin, TX)
    …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical ...personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a… more
    Highmark Health (11/06/25)
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  • VP Pharmaceutical Trade Relations - REMOTE

    Prime Therapeutics (Austin, TX)
    …decision we make. **Job Posting Title** VP Pharmaceutical Trade Relations - REMOTE **Job Description** The Vice President Pharmaceutical Trade Relations oversees the ... which address changing market demands and ensure Prime is delivering the highest quality and lowest cost of care to its members and related client messaging… more
    Prime Therapeutics (09/03/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (San Antonio, TX)
    review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying ... a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule… more
    Molina Healthcare (11/23/25)
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  • National Director, IG Business Development…

    Option Care Health (Austin, TX)
    …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Option Care Health IG Complete +, share and interpret clinical data and outcomes of their patients and broadly...grow the IG census in your assigned accounts + Review and analyze all available sales data in order… more
    Option Care Health (10/19/25)
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  • VBC Performance Specialist- Remote

    Sharecare (Austin, TX)
    …for ensuring accurate, timely, and compliant reporting across multiple quality payment programs, including the Merit-based Incentive Payment System (MIPS) ... execution, and drive performance outcomes. + Ensure adherence to Qualified Clinical Data Registry (QCDR) guidelines, maintaining full compliance with all regulatory… more
    Sharecare (09/17/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (San Antonio, TX)
    …partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to ... quality care with improved outcomes through better coordination and...and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming… more
    Molina Healthcare (11/21/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Austin, TX)
    …partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to ... quality care with improved outcomes through better coordination and...and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming… more
    Molina Healthcare (10/25/25)
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  • Psychology Professor - Curriculum Writer-…

    UWorld, LLC (Dallas, TX)
    …seeking a dynamic and dedicated professor with expertise in General Psychology or Clinical Psychology to join our growing content team. As a content writer, you'll ... What We're Looking For: + Education: A master's degree in Psychology, Clinical Psychology, Neuroscience, or related Behavioral Science discipline (PhD preferred). +… more
    UWorld, LLC (09/08/25)
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  • Care Management Processor ( Remote , Must…

    Molina Healthcare (Houston, TX)
    JOB DESCRIPTION Job SummaryProvides non- clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting ... care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Facilitates administrative… more
    Molina Healthcare (11/21/25)
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