• Manager , Provider Relations

    Molina Healthcare (Houston, TX)
    **_ Remote and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... have issues or complaints (eg, problems with claims and encounter data, eligibility , reimbursement, and provider website). * Serves as a resource to support… more
    Molina Healthcare (06/22/25)
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  • Medicare Program Manager IV

    Centene Corporation (Austin, TX)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and ... to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level… more
    Centene Corporation (08/02/25)
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  • Supplemental Benefit Program Manager III

    Centene Corporation (Austin, TX)
    …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… more
    Centene Corporation (07/18/25)
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  • LTSS Service Care Manager - Behavioral…

    Centene Corporation (Corpus Christi, TX)
    …assessments and care coordination of formal healthcare/behavioral services with adults Medicaid recipients (18 - 65) . Experience managing high volume caseloads ... resiliency skills. . Experience working in FIELD based Case Manager /Social Worker roles is a PLUS . Experience working...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (07/04/25)
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  • LTSS Service Care Manager - Behavioral…

    Centene Corporation (Mcallen, TX)
    …competitive benefits including a fresh perspective on workplace flexibility. **THIS IS NOT REMOTE - Applicants must reside in one of the following Texas locations: ... children, adolescents, or young adults (0 - 21) under Medicaid - STAR Health, CHIP, STAR Kids, or Foster...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (06/28/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Austin, TX)
    …needs for potential entry into a higher level of care and/or waiver eligibility , as applicable + Reviews member data to identify trends and improve operating ... nursing experience with direct patient care and/or administering medically approved Medicaid assessment and coordinating referrals for medical services + Acute Care… more
    Centene Corporation (07/05/25)
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  • National VBC Manager

    Centene Corporation (Austin, TX)
    …VBC contract management. + Monitors VBC performance under risk arrangements for Medicaid and Medicare product lines. + Performs data analysis and develops specific ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (07/13/25)
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  • AVP Financial Counseling

    Providence (TX)
    …Leader:** + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and ... as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000… more
    Providence (07/29/25)
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  • Infection Data Abstractor

    HCA Healthcare (San Antonio, TX)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... team members over the course of three years. **This is a fully remote /work from home position.** **Benefits** Parallon, offers a total rewards package that supports… more
    HCA Healthcare (07/31/25)
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  • Neuroscience Data Abstractor

    HCA Healthcare (San Antonio, TX)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... part of the nation's leading provider of healthcare services, HCA Healthcare. Fully remote /work from home position. Must have experience with Get With the Guidelines… more
    HCA Healthcare (07/23/25)
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