• Behavioral Health Care Manager II

    Elevance Health (Houston, TX)
    …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II** Location: **Virtual** - ... pm (EST) to 8:30 pm (EST)** The **Behavioral Health Care Manager II** is responsible for managing...**Licensure is a requirement for this position.** + Prior managed care experience required. For candidates working… more
    Elevance Health (07/23/25)
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  • LTSS Service Care Manager

    Centene Corporation (Corpus Christi, TX)
    …Case Manager /Social Worker roles is a PLUS . Experience working in a managed care environment is a plus (Federal and State Sponsored Govt Programs), but ... adults (18- 65)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
    Centene Corporation (07/04/25)
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  • Provider Contracts Manager

    Molina Healthcare (San Antonio, TX)
    …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts,… more
    Molina Healthcare (07/17/25)
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  • LTSS Service Care Manager

    Centene Corporation (Mcallen, TX)
    …Role requires strong adaptability, flexibility, and resiliency skills. + Experience working in managed care environment is a plus (Federal and State Sponsored ... 3 days per week for IN-PERSON visits with Foster Care members** **Monday - Friday 8:00 am- 5:00 pm...Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC, or RN with… more
    Centene Corporation (06/28/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Austin, TX)
    …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
    Prime Therapeutics (04/24/25)
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  • Manager Senior Engineering

    Elevance Health (Grand Prairie, TX)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... ** Manager Senior Engineering** **Location:** This role requires associates...responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make… more
    Elevance Health (07/18/25)
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  • Project Manager - Remote

    NTT DATA North America (Dallas, TX)
    …processes. -Serve as a project manager that reports to the Medicare, Managed Care , and Population Health Program Manager -Provide overall management ... NTT DATA is currently seeking a **Project Manager ** with a minimum of 5 years of... coordination across acute, post-acute, and ambulatory settings -Payer contract modeling and analytics to support value-based care more
    NTT DATA North America (07/15/25)
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  • Manager , Provider Relations

    Molina Healthcare (Houston, TX)
    …administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. * Oversees and leads the… more
    Molina Healthcare (06/22/25)
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  • Manager - Case Management & Social Services

    Houston Methodist (Sugar Land, TX)
    …experience in inpatient case management, social work or utilization management or in the managed care /payer environment, of which one year must have been in a ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...caregivers to provide the highest quality, most clinically appropriate care to patients and while promoting the most cost-effective… more
    Houston Methodist (04/24/25)
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  • Lead Technical Program Manager - Delivery

    JPMorgan Chase (Plano, TX)
    …growth and innovation in a dynamic environment. As a Lead Technical Program Manager in Enterprise Technology - Electronic Trading Services team, you will drive the ... Infrastructure. Quite simply the ETS TDM wears many hats, including Relationship Manager , Project Manager , Service Manager , Technical Expert, eTrading… more
    JPMorgan Chase (06/28/25)
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