• Supervisor Member Services

    Highmark Health (Austin, TX)
    …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
    Highmark Health (12/16/25)
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  • Remote Supervisor , Healthcare…

    Molina Healthcare (Houston, TX)
    JOB DESCRIPTION Supervisor opportunity in Texas is open to TX licensed RNs; candidates must reside in the state to be considered for this position. Preference will ... with a minimum of 2 years' experience in Case Management/ Service Coordination within an MCO. Candidates should be able...Job Summary: Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following… more
    Molina Healthcare (12/26/25)
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  • Supervisor , Healthcare Services

    Molina Healthcare (San Antonio, TX)
    JOB DESCRIPTION Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care ... management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach… more
    Molina Healthcare (12/24/25)
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  • Staffing Supervisor

    Elara Caring (Mount Vernon, TX)
    …the Right Care, at the Right Time, in the Right Place. **Job Description:** Staffing Supervisor Mount Vernon, TX Full Time At Elara Caring, we care where you are and ... are on their health journey, we care. Each team member has a part to play in this mission....countless ways to make a difference as a Staffing Supervisor . Being a part of something this great starts… more
    Elara Caring (12/18/25)
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  • Supervisor , Pharmacy Operations/Call…

    Molina Healthcare (Austin, TX)
    …to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is ... optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** * Hires, trains, develops, and supervises… more
    Molina Healthcare (12/28/25)
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  • Representative, Dental Provider Services

    Molina Healthcare (Fort Worth, TX)
    …and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and ... policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary point of contact… more
    Molina Healthcare (12/31/25)
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  • Registered Nurse, Home Health

    Humana (San Antonio, TX)
    …of skilled services and clients outcomes to physician and Agency supervisor in keeping with Agency policies and procedures. Provides information for 60-day ... caring community and help us put health first** Professional member of patient's treatment team who provides skilled nursing...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (01/01/26)
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  • Clinical Pharmacist

    HCA Healthcare (Jourdanton, TX)
    …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
    HCA Healthcare (12/19/25)
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  • Insurance Collections Specialist - CBO

    HCA Healthcare (Austin, TX)
    …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
    HCA Healthcare (10/30/25)
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  • Representative, Provider Relations HP - Remote

    Molina Healthcare (Dallas, TX)
    …that services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an external-facing, field-based position ... Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point of contact… more
    Molina Healthcare (11/28/25)
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