• Telephonic Nurse Case Manager II

    Elevance Health (Houston, TX)
    …experience. + Certification as a Case Manager. + Minimum 2 years' experience in acute care setting. + Managed Care experience. + Ability to talk and ... 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 (09/11/25)
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  • Medical Director - Commercial

    CVS Health (TX)
    …experience with a Health plan/payor experience. *Electronic medical systems/record experience * Managed Care experience *Board certification in Internal Medicine, ... 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 (09/11/25)
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  • Licensed Practical Nurse

    Valor Health (San Antonio, TX)
    …with front desk for check-in, check-out and phone coverage. o Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... to federal government service. We aim to deliver high-quality care in a way that upholds the health of... for them with respect and through methods that lead to superior clinical outcomes.Valor is different because of… more
    Valor Health (10/08/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Austin, TX)
    …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets… more
    Highmark Health (08/20/25)
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  • Medical Insurance Verifier

    HCA Healthcare (Austin, TX)
    …+ You are responsible for identifying patient accounts based on PPO, HMO, or other Managed Care Organizations + You will contact patients and provide updates on ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical...operational, and financial expertise of a Fortune 100 healthcare leader . At Surgery Ventures, we are committed to supporting… more
    HCA Healthcare (09/21/25)
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  • Associate Service Chief/ Associate CMOP Director…

    Veterans Affairs, Veterans Health Administration (Big Spring, TX)
    …and evaluate drug use patterns and outcomes for patients in hospitals or managed care organizations. Medical Requirements: Applicants must be able to distinguish ... the coordinator for pharmacist training programs at West Texas VA Health Care System (WTXVAHCS). The incumbent plans, directs, and coordinates comprehensive pharmacy… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Chief Financial Officer

    HCA Healthcare (Houston, TX)
    …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...do in this role: + You will assume a lead role in analyzing and exploring means of reducing… more
    HCA Healthcare (10/07/25)
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  • Director, Medicare Segment Optimization (D-SNP…

    Molina Healthcare (Houston, TX)
    …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 10 years' experience in Managed Care , specifically government programs and/or Medicare/Duals Health Plan ... of assigned D-SNP markets. Serves as the D-SNP market lead responsible for individual market P&L performance in alignment...+ Under the leadership of the VP Medicare Segment Lead , this role will facilitate transparent and compliant execution… more
    Molina Healthcare (09/07/25)
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  • Lead Analyst, Reimbursement

    Molina Healthcare (San Antonio, TX)
    …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 5 - 10 years' experience in Managed Care + 5 or more years hospital reimbursement methodologies + ... **Job Description** **Job Summary** The Lead Analyst, Reimbursement is responsible for administering complex...lines of business and expansion into new states. The Lead Analyst, Reimbursement will be primarily responsible for implementation,… more
    Molina Healthcare (09/27/25)
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  • Profee Coder Urology

    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 . We are looking for a motivated, experienced **Profee...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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