• Care Manager - Registered Nurse

    CVS Health (Austin, TX)
    …+ Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community ... home healthcare coordination experience **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members. + Experience… more
    CVS Health (07/23/25)
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  • Senior Corporate Healthcare Compliance Consultant

    Baylor Scott & White Health (Dallas, TX)
    …to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends ... in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on… more
    Baylor Scott & White Health (07/12/25)
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  • Remote Spanish Bilingual Member Engagement…

    BeneLynk (San Antonio, TX)
    …of the role will include making and fielding calls to help Medicare and Medicaid Managed Care Plan Members determine which benefit(s) best suit them and assisting ... Community Programs (transportation, meals, energy discounts), Medicare Savings Programs, Medicaid , and Veteran's coordination of care. Our outstanding Remote… more
    BeneLynk (07/29/25)
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  • Strategic HEDIS Data Analysis Manager

    CVS Health (Austin, TX)
    …expertise in healthcare and information technology to ensure efficient data management , promote data-driven insights, and enhance the delivery of healthcare services ... * Support Medicaid markets on analysis of key improvement activities and...and interventions, including analyzing for intervention effectiveness * Leads management of the quality data, reporting, and analytics function… more
    CVS Health (07/31/25)
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  • Medical Social Worker MSW PRN

    HCA Healthcare (El Paso, TX)
    …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... MSW maintains a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes, and possesses a thorough understanding… more
    HCA Healthcare (06/21/25)
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  • Patient Care Manager Senior

    Gentiva (Lubbock, TX)
    …+ Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid , JCAHO, ACHC, and human resource) management principles + Ability ... and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility , obtaining authorization and reauthorization as needed, commercial insurance… more
    Gentiva (05/16/25)
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  • Certified Cancer Registrar

    HCA Healthcare (El Paso, TX)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** You contribute… more
    HCA Healthcare (06/21/25)
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  • Billing Edit Manager

    HCA Healthcare (San Antonio, TX)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Our teams… more
    HCA Healthcare (08/02/25)
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  • Implementation Analyst Revenue Cycle

    HCA Healthcare (El Paso, TX)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Our teams… more
    HCA Healthcare (07/27/25)
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  • HIM Assistant Director

    HCA Healthcare (Dallas, TX)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Would you… more
    HCA Healthcare (06/28/25)
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