• Sr Mgr Analytics Consulting - Medicaid

    Health Care Service Corporation (Richardson, TX)
    …is responsible for planning, managing and controlling the activities of a team of Medicaid analysts that provides business intelligence support for business ... At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower...as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist (CEBS) * Medicaid experience **This is… more
    Health Care Service Corporation (11/13/25)
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  • Area Business Specialist - Fort…

    J&J Family of Companies (Fort Worth, TX)
    …United States **Job Description:** We are searching for the best talent for Area Business Specialist to be in Fort Worth, TX/Dallas, TX. **About Immunology** Our ... every step of the way. Learn more at https://www.jnj.com/innovative-medicine As the Area Business Specialist (ABS), you will: + Ensure appropriate identified new… more
    J&J Family of Companies (11/27/25)
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  • Insurance Collections Specialist - CBO

    HCA Healthcare (Austin, TX)
    …by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/ Business Office Supervisor, you will ... is recognized. Submit your application for the opportunity below:Insurance Collections Specialist - CBOSurgery Ventures **Benefits** Surgery Ventures offers a total… more
    HCA Healthcare (10/30/25)
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  • CSC Customer Service Specialist - Evenings

    Baylor Scott & White Health (Dallas, TX)
    …and/or level._ **Job Summary** The Customer Service Specialist acts as a business analyst in a complex office , examining and resolving advanced customer ... and patient-centered communication. + Must have advanced technical knowledge of the Business office . **Belonging Statement** We believe that all people should… more
    Baylor Scott & White Health (11/21/25)
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  • Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Dallas, TX)
    …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Houston, TX)
    …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response. * Meets claims production standards set… more
    Molina Healthcare (11/21/25)
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  • Medication Therapy Management Specialist

    Prime Therapeutics (Austin, TX)
    …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...outbound calls to qualified members across all lines of business to review the benefits of the MTM program.… more
    Prime Therapeutics (10/31/25)
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  • Research & Resolution Specialist

    Aveanna Healthcare (Dallas, TX)
    Research & Resolution Specialist ApplyRefer a FriendBack Job Details Requisition #: 208950 Location: Dallas, TX 75254 Category: Medical Billing/Collections Salary: ... equipment without assistance Environment * Performs duties in an office environment during agency operating hours * Must be...United States only, and in states where Aveanna conducts business . Remote workers should be prepared to come into… more
    Aveanna Healthcare (11/08/25)
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  • Utilization Review Specialist Nurse (RN)…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... to be all-inclusive; the employee will also perform other reasonably related business /job duties as assigned. Houston Methodist reserves the right to revise job… more
    Houston Methodist (11/02/25)
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  • Coding Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned by the business office MPIP personnel, ensuring deadlines are met. + Managing ... **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth...**Preferred Qualifications:** + Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management coding guidelines… more
    Texas Tech University Health Sciences Center - El Paso (11/26/25)
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