• Clinical Program Manager - Payment

    Molina Healthcare (TX)
    …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... **Business Leadership & Operational Ownership** + Develop and execute effective Payment Integrity strategies through both pre- payment and post payment more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment

    Molina Healthcare (Dallas, TX)
    **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly ... on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy....years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (08/14/25)
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  • Payment Integrity Program…

    Molina Healthcare (Fort Worth, TX)
    …expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (08/14/25)
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  • Payment Integrity Subrogation…

    Molina Healthcare (TX)
    **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... lines of business. This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case types-including automobile-related claims… more
    Molina Healthcare (07/23/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (San Antonio, TX)
    …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (08/20/25)
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  • Lead Analyst, Configuration Oversight…

    Molina Healthcare (TX)
    …are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and ... acumen. Experience in Medicaid managed care is required, and a background in payment integrity -either at a health plan or vendor-is strongly preferred.… more
    Molina Healthcare (07/24/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Grand Prairie, TX)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/16/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Austin, TX)
    …responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Scope ... management, and designated areas in the response process. 5. Assists manager with interviews, onboarding, monitoring and measuring goals, annual reviews and… more
    Intermountain Health (08/13/25)
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  • Project Manager II (Houston, TX) - Austin…

    Austin Industries (Houston, TX)
    …to work at Austin Commercial. Austin Commercial is currently seeking a Project Manager II for our Houston Division. We set the standard for commercial construction ... customers' expectations with our commitment to safety, service, and integrity . Join us today. We Own It! The purpose...purpose of this job is to assist a project manager in carrying out duties in planning, scheduling, and… more
    Austin Industries (08/07/25)
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  • Project Manager (North Texas) - Austin…

    Austin Industries (Irving, TX)
    …to work at Austin Commercial. Austin Commercial is currently seeking a **Project Manager ** for our **Healthcare Team** with our **North Texas Division** . We set ... exceed our customers' expectations with our commitment to safety, service, and integrity . Join us today. We Own It! **Responsibilities:** 1. Oversees a construction… more
    Austin Industries (08/07/25)
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