• Medicare Compliance Manager (Medicare Advantage…

    Molina Healthcare (Houston, TX)
    …* Spearheads development and implementation of compliance policies and procedures and training programs for the Molina enterprise. * Oversees and provides direction ... changes to internal company processes as needed.. **Job Qualifications** **Required Education ** Bachelor's Degree or equivalent combination of education and… more
    Molina Healthcare (07/25/25)
    - Related Jobs
  • Director, Provider Contracts HP (Texas Medicaid…

    Molina Healthcare (Fort Worth, TX)
    …consultation, employee development, and recognition; ensures ongoing, appropriate staff training ; holds regular team meetings to drive good communication and ... selection, orientation and mentoring of new staff. **Job Qualifications** **REQUIRED EDUCATION ** : Bachelor's Degree in a related field (Business Administration,… more
    Molina Healthcare (06/22/25)
    - Related Jobs
  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Fort Worth, TX)
    …as well as Electronic Medical Record (EMR) access. This position would oversee management of training for all CDA team members as well as company HEDIS training , ... KPI measurement and performance mitigation strategies. **Job Qualifications** **REQUIRED EDUCATION :** Bachelor's Degree in a clinical field, Public Health,… more
    Molina Healthcare (08/21/25)
    - Related Jobs
  • HIM - Inpatient Coding Supervisor ( remote

    Guidehouse (Dallas, TX)
    …patterns of coding errors and opportunities for coder and /or clinical education . + Serves as a technical expert/resource for department manager, staff, physicians, ... of prior relevant experience; (Relevant experience may be substituted for formal education or advanced degree) + Currently certified as a Registered Health… more
    Guidehouse (08/19/25)
    - Related Jobs
  • Sr Specialist, Member Engagement ( Remote )

    Molina Healthcare (Fort Worth, TX)
    …hearings or other formal/informal dispute resolution process. * Provides ongoing training and educational materials to HMO and relevant subcontractor employees and ... provided in accordance with all State/HMO requirements.. **Job Qualifications** **Required Education ** Bachelor's Degree in Social Work, Human Services or related… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Senior Process Consultant (Medicare)…

    Molina Healthcare (Houston, TX)
    …re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and staff on process improvement and problem-solving ... coaches them on process improvement projects. **JOB QUALIFICATIONS** **Required Education ** Bachelor's degree required in a related field (Business Administration,… more
    Molina Healthcare (07/19/25)
    - Related Jobs
  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (San Antonio, TX)
    …provider disputes for 20+ states. * Provides direct oversight, monitoring and training of Contracted Provider disputes and appeals to ensure adherence with Molina ... depending on Medicare Program and State requirements. **Job Qualifications** **Required Education ** Associate's degree or 4 years of Medicare Claim Experience.… more
    Molina Healthcare (07/18/25)
    - Related Jobs
  • Remote : Fire Protection Engineer (BIE)

    Planate Management Group LLC (Texas City, TX)
    …completion of authorized work for the 183 schools under the Bureau of Indian Education (BIE) and BIE facilities around the country. This position will serve as a ... projects, work locations, equipment and operations, methods of safety and health training and protective equipment devices + Support periodic technical training more
    Planate Management Group LLC (08/16/25)
    - Related Jobs
  • Lead Abstractor, HEDIS/Quality Improvement…

    Molina Healthcare (San Antonio, TX)
    …for the medical record collection process. + Assists Manager and Supervisor(s) in training , utilizing the standardized training materials and job aids. + As ... and leads scheduled meetings with the National Over read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Arbitration Supervisor - REMOTE

    US Anesthesia Partners (Dallas, TX)
    …weekends. + Able to organize and prioritize. + Strong attention to detail. EDUCATION / TRAINING /EXPERIENCE: + A High School diploma is required. An associate ... and issues. This includes but is not limited to training and mentoring the team, delegating work assignments, Level...to questions and concerns of team members. + Facilitates training and access of new employees, working with the… more
    US Anesthesia Partners (08/08/25)
    - Related Jobs