• Sr Insurance Verifier

    Houston Methodist (Houston, TX)
    …health record software (EPIC preferred) + Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies + Ability to manage multiple tasks ... employee, and physician satisfaction. Proactively presents solutions to resolve access to care issues when possible. Serves as a liaison between the patients,… more
    Houston Methodist (09/06/25)
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  • Diabetes Sales Specialist

    Owens & Minor (Fort Worth, TX)
    …services, and necessary documentation. + Arrange & conduct in-services. + Analyze impact of managed care in the territory and its effect on prescribing decisions ... technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what...subsidiary of Owens & Minor, has been a national leader in disposable medical supply delivery since 1968. We… more
    Owens & Minor (08/22/25)
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  • Business Office Manager

    HCA Healthcare (Dallas, TX)
    …Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ledger. Your goal ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
    HCA Healthcare (08/08/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Austin, TX)
    …work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology ... business initiatives and the delivery of innovative solutions. **Responsibilities** + Lead the vision, strategy, and implementation of integrating medical and… more
    Prime Therapeutics (10/02/25)
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  • Vice President, Cardiology

    Evolent (Austin, TX)
    …regulatoryexpertisein Medicare, Medicaid, and Commercial + Experience in health plan operations and/or managed care highly desirable + 7+ years managing teams to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
    Evolent (10/07/25)
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  • Medical Director, Behavioral Health (NE)

    Molina Healthcare (Houston, TX)
    …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
    Molina Healthcare (10/03/25)
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  • Territory Sales Manager - North

    ConvaTec (Houston, TX)
    …within assigned territory with overnight stays when applicable. + Has solid understanding of managed care at both a local and national level. + Budget management ... of chronic conditions, with leading positions in Advanced Wound Care , Ostomy Care , Continence Care ,...in "getting past the gatekeeper" and business acumen. + Lead by example by demonstrating "what good looks like."… more
    ConvaTec (09/20/25)
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  • Vice President, Growth, Product Marketing…

    Evolent (Austin, TX)
    …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...& Enablement to join the growth team as a leader . Role Overview: The VP, Product Marketing & Enablement… more
    Evolent (09/18/25)
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  • Clinical Solutions VP - Remote

    Prime Therapeutics (Austin, TX)
    …12 years of work experience in medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... business initiatives and the delivery of innovative solutions. **Responsibilities** + Lead the development and assessment of innovative clinical solutions and the… more
    Prime Therapeutics (09/10/25)
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  • Director, Clinical Systems

    Molina Healthcare (Fort Worth, TX)
    …years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care environment, or ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
    Molina Healthcare (10/01/25)
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