• Hybrid RN Care/Case Manager

    CenterWell (Garland, TX)
    …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
    CenterWell (08/14/25)
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  • Sales, Territory Manager - (Northern VA,…

    Philips (Arlington, TX)
    RespirTech's Territory Manager represents the InCourage airway clearance therapy medical device, calling on but not limited to Pulmonologists to support patients ... clinical evidence to physicians. + Being an expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy, while effectively… more
    Philips (08/14/25)
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  • Facilities Care Manager , Ltss (RN)

    Molina Healthcare (San Antonio, TX)
    …the San Antonio area who is interested in joining Molina to work with our Medicaid members currently admitted to a nursing facility. Preference will be given to RNs ... services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
    Molina Healthcare (07/17/25)
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  • Senior Client Coding Project Manager

    Datavant (Austin, TX)
    …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid , Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy… more
    Datavant (06/28/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible for technical aspects, ... calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to, cost...to include four (4) years of reimbursement experience at manager level or above. + Experience with Medicare IME,… more
    UTMB Health (08/08/25)
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  • LTSS Service Care Manager - Behavioral…

    Centene Corporation (Austin, TX)
    …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers ... role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred. **Member visits are in Alice, TX, Bishop, TX, Bentonville, TX, Agua… more
    Centene Corporation (08/30/25)
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  • LTSS Service Care Manager

    Centene Corporation (Dallas, TX)
    …medical and social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers role ... in-patient hospital, community health, outpatient mental health, or state social services settings (MHAs, LIDDA) is preferred. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance,… more
    Centene Corporation (08/30/25)
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  • Clinical Reimbursement Manager , RN…

    Genesis Healthcare (TX)
    …professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this ... position requires an onsite presence the majority of the time. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through… more
    Genesis Healthcare (08/21/25)
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  • Care Team Manager

    Elara Caring (Texarkana, TX)
    …+ Home Care industry experience is preferred + Knowledge of Medicare and Medicaid , home health care benefits, policies and procedures + Excellent computer and ... communication skills, with ability to work in fast-paced environment + Reliable transportation to perform job responsibilities You will report to the Branch Director, Alternative Branch Director, or Regional Branch Director. _This is not a comprehensive list… more
    Elara Caring (08/08/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (TX)
    …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
    Molina Healthcare (07/24/25)
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