• Lead Product Manager - Dual Population

    Humana (Austin, TX)
    …practices, and design clinical solutions for members who have Medicare and Medicaid . The Lead Product Manager partners across various multi-disciplinary teams ... members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (08/23/25)
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  • System Manager Revenue Cycle (Medicare…

    Houston Methodist (Katy, TX)
    …billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash collections and minimizes ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and… more
    Houston Methodist (08/13/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Austin, TX)
    …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The… more
    Humana (08/22/25)
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  • Senior Compliance Analyst, Duals (D-SNP)

    Centene Corporation (Austin, TX)
    …of D-SNP requirements and implementations where needed. + Performs interim Duals Compliance manager responsibilities to include supporting the health plan ... compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities. + Partners with Duals Manager and health plans… more
    Centene Corporation (08/23/25)
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  • Manager , Provider Relations

    Molina Healthcare (Houston, TX)
    …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. * Oversees appropriate and timely… more
    Molina Healthcare (06/22/25)
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  • Field Reimbursement Manager Immunology GI-…

    J&J Family of Companies (El Paso, TX)
    …Solutions (PECS) team is in search** **for the best talent for Field Reimbursement Manager which will be a field-based position to be located in Santa Fe, NM, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (08/16/25)
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  • Patient Care Manager Senior

    Gentiva (Lubbock, TX)
    **Overview** We're looking for a **Patient Care Manager Senior** to join our team. You will report directly to the Executive Director or Administrator. You will be ... associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. **$5,000… more
    Gentiva (08/15/25)
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  • Hospice Billing Manager

    Robert Half Management Resources (Dallas, TX)
    Description We are looking for a dedicated Hospice Billing Manager to join our team in Dallas, Texas. This is a four month contract role, you will oversee and ensure ... the accuracy and compliance of all hospice billing activities while adhering to...verify resident levels and ensure proper billing. * Monitor Medicaid room and board rates, updating the hospice billing… more
    Robert Half Management Resources (08/14/25)
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  • REMOTE Project Manager

    Insight Global (Richardson, TX)
    …company is seeing a Project Manager to work on regulatory and compliance projects tied to medicare/ medicaid inititiaves. - Direct and coordinate resources to ... projects Experience in the Healthcare/Insurance Industry Experience on regulatory or compliance projects preferred Solid understanding of Scrum and Agile concepts… more
    Insight Global (07/15/25)
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  • Accounting Manager , Revenue and Reporting

    WelbeHealth (Austin, TX)
    …core values and our participant-focus lead the way no matter what. The Accounting Manager , Revenue and Reporting will have a unique opportunity to bridge the gap of ... Fulfillment of the role will also include driving efficiency in compliance reporting/revenue rate filings and leveraging insights to improve financial performance… more
    WelbeHealth (08/01/25)
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