• Program Director, Quality Incentives

    Molina Healthcare (Austin, TX)
    …Business, Health Administration or related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality ... in lieu of Bachelor's Degree). **REQUIRED EXPERIENCE:** * 7+ years managed healthcare experience with proven relationship management responsibilities * Proven… more
    Molina Healthcare (09/10/25)
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  • Director Quality Improvements

    Banner Health (TX)
    …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Banner Health the best place to work and receive care . Banner - University Medical Center Phoenix has been...experience and expertise in support of a nationally-recognized healthcare leader . We offer stimulating and rewarding careers in a… more
    Banner Health (10/02/25)
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  • Intensive Community Manager (RN)

    ChenMed (Houston, TX)
    …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... home. Intensive Community Manager will serve as a clinical lead for a Community Care team. They...necessary to meet their needs and engage them in care . As a clinical leader for the… more
    ChenMed (09/25/25)
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  • Insurance Strategy Lead

    Humana (Austin, TX)
    …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
    Humana (09/17/25)
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  • Lead Director, Network Management, Provider…

    CVS Health (Pearland, TX)
    …Incidents. **Required Qualifications** + Minimum of 5 to 7 years of recent Managed Care experience in Network/ Provider Engagement + Employee Supervision with ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (10/01/25)
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  • Social Worker MSW

    HCA Healthcare (Pasadena, TX)
    …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... care hospital in Pasadena, Texas** . We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered… more
    HCA Healthcare (09/19/25)
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  • Licensed Social Worker

    HCA Healthcare (Pasadena, TX)
    …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... care hospital in Pasadena, Texas** . We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered… more
    HCA Healthcare (09/19/25)
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  • Behavioral Health Provider (O-6 Billet)…

    Immigration and Customs Enforcement (Port Isabel, TX)
    …Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator, Managed Care Coordinator, etc.), other health services professionals, and mental ... behavioral health services at DHS ICE facilities, providing clinical care . Responsibilities include, treatment planning, crisis intervention, and program… more
    Immigration and Customs Enforcement (10/05/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    …preferred. + Minimum 2 years' experience in acute care setting is preferred. + Managed Care experience is preferred. + Ability to talk and type at the same ... The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (10/02/25)
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  • Sr Analyst, Performance Suite Analytics

    Evolent (Austin, TX)
    …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care more
    Evolent (09/22/25)
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