• Medicare Compliance Manager (Medicare Advantage…

    Molina Healthcare (Houston, TX)
    …will consider previous experience in health plan setting in government programs management ( Contract Manager) **Preferred Experience** 7-9 years To all current ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (07/25/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (TX)
    …or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work cross-functionally with Configuration, ... review new audit tools and techniques and provide recommendations to management + Validates accuracy of new complex configuration processes/solutions + Interprets… more
    Molina Healthcare (07/24/25)
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  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Fort Worth, TX)
    …issues, steer partners toward durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. ... Performance Validation - Verify that external partners handle CTM complaints per contract and CMS standards; trigger and track remediation when gaps surface. 5.… more
    Molina Healthcare (07/13/25)
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  • Network Management Consultant - Remote

    Prime Therapeutics (Austin, TX)
    …+ 8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years ... our passion and drives every decision we make. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management Consultant… more
    Prime Therapeutics (08/14/25)
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  • Pharmacist I, Pharmacy Integration and Account…

    Community Hospital Corporation (Plano, TX)
    …compliance, and participating in initiatives to improve patient outcomes and reduce healthcare costs. Major Responsibility: * Account Management : Building and ... including the integration of new members, as it relates to workflow, contract integration, compliance, education and competency regarding various CHC Supply Trust… more
    Community Hospital Corporation (06/07/25)
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  • Care Management Support Assistant

    Humana (Austin, TX)
    …case management , managed care settings, Autism services and/or other healthcare settings. + Above average written and verbal communication skills. + Proficiency ... of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality… more
    Humana (08/27/25)
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  • Senior Advisor, System Administrator, Revenue…

    Cardinal Health (Austin, TX)
    **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a ... medical practice. Revenue Cycle Management manages a team focused on a series of...on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient… more
    Cardinal Health (08/08/25)
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  • Group Lead, Strategic Pricing & Contracting

    Abbott (Austin, TX)
    …the Medical Devices US Sales Division, the Group Lead Strategic Pricing & Contract analyst will interface with Sales, Sales Management , Sales Operations, ... Abbott is a global healthcare leader that helps people live more fully...contract programs, contractual terms, and guidelines for successful contract administration. + Supports management regarding improvements… more
    Abbott (08/27/25)
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  • Bleeding Management Key Account Manager…

    Grifols Shared Services North America, Inc (Dallas, TX)
    Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play… more
    Grifols Shared Services North America, Inc (08/23/25)
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  • Manager, Labor Management Engineering

    Ascension Health (Austin, TX)
    …appropriate corrective actions. + Implements market-wide project and action plans for labor management , premium pay, contract labor, and overall labor expense ... **Details** + **Department:** Labor Management + **Schedule:** Full-time + **Location:** Austin, TX...Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most… more
    Ascension Health (07/03/25)
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