• Lead Adjudicator, Provider Claims

    Molina Healthcare (Austin, TX)
    …adjudicators and senior provider claims adjudicators. Train and coach new employees. Provide clear and concise results on the provider claims model across ... to closure. + Perform daily troubleshooting procedures to support Provider Claims functions as needed. + Participates in or...and/or policies. + Serves as subject matter expert and provide feedback to team and provide training… more
    Molina Healthcare (08/28/25)
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  • Adjudicator, Provider Claims (LTSS Call…

    Molina Healthcare (Fort Worth, TX)
    **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
    Molina Healthcare (08/27/25)
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  • Provider Contracts Manager

    Molina Healthcare (Fort Worth, TX)
    …marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
    Molina Healthcare (08/28/25)
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  • Director, Provider Network Management…

    Molina Healthcare (Dallas, TX)
    …**Job Summary** Responsible for accurate and timely measurement of critical provider analytics including Network Adequacy and other critical metrics. Synchronizes ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on ...within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising… more
    Molina Healthcare (08/20/25)
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  • Program Director ( Provider Data Mgmt)

    Molina Healthcare (Dallas, TX)
    healthcare environments. Candidates with direct experience in **launching provider operations, systems, or credentialing programs** are strongly encouraged to ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations and… more
    Molina Healthcare (09/04/25)
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  • PRN Acute Care Advanced Practice Provider

    HCA Healthcare (Conroe, TX)
    …acute care nurse practitioner or physician assistant to join HCA Houston Healthcare Conroe hospital in Conroe, Texas. **Qualified Candidates:** + Acute care ... compensation, W2 Employment + Expert practice management including privileging, provider enrollment, and billing and collections + Occurrence based malpractice… more
    HCA Healthcare (08/08/25)
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  • Cardiology Advanced Practice Provider

    HCA Healthcare (Greenville, TX)
    …**Job Summary:** Texas Cardiovascular Specialists is seeking an Advanced Practice Provider to join their established practice in Greenville, TX. **Qualified ... Competitive salary + Full benefits **Overview of Medical City Healthcare :** + 16 hospitals in North Texas + 8...centers + More than 4,400 active physicians + Becker's Healthcare 150 Top Places to Work in Healthcare more
    HCA Healthcare (08/15/25)
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  • Trauma Advanced Practice Provider

    HCA Healthcare (Arlington, TX)
    …**Job Summary:** Medical City Arlington is seeking a Trauma Advanced Practice Provider to support the trauma service line. **Qualified Candidates:** + Experienced ... 1,400 full-time and part-time nurses, therapists, technicians and other healthcare personnel that make up our team. + Leader...make up our team. + Leader in Dallas/Fort Worth healthcare with more than 700 highly skilled physicians who… more
    HCA Healthcare (08/14/25)
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  • Neurosurgery Advanced Practice Provider

    HCA Healthcare (Houston, TX)
    **Description** **Specialization:** Acute Care **Job Summary:** HCA Houston Healthcare North Cypress is seeking to recruit a Neurosurgery Physician Assistant or ... Nurse Practitioner to provide support to a busy, employed Neurosurgeon in the...coverage + No state income tax **About HCA Houston Healthcare North Cypress:** + HCA Houston Healthcare more
    HCA Healthcare (09/06/25)
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  • Orthopedic Spine Advanced Practice Provider

    HCA Healthcare (Fort Worth, TX)
    …Medical City Fort Worth, is looking for a full-time advanced practice provider to support an Orthopedic Spine Surgeon. **Qualified Candidates:** + Applicants must ... that features its western heritage, including a year round rodeo. Medical City Healthcare is one of the region's largest, most comprehensive health care providers… more
    HCA Healthcare (08/26/25)
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