• Pediatrics Licensed Physical Therapist Assistant…

    Aveanna Healthcare (Katy, TX)
    …Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
    Aveanna Healthcare (08/23/25)
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  • Utilization Management Strategy Lead

    Humana (Austin, TX)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​ ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (08/23/25)
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  • Claims Examiner, Bodily Injury (Commercial…

    Sedgwick (San Antonio, TX)
    …and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, ... carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to… more
    Sedgwick (08/23/25)
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  • NP Surgery Non-Operative

    Baylor Scott & White Health (Round Rock, TX)
    …are credentialed, privileged, and billed as an independent provider, recognized by Medicare and Medicaid. The Advanced Practice Provider provides medical care based ... on the scope of practice set by the supervising physician. Surgical providers care for adult and pediatric patients. They specialize in General Surgery, Orthopedics, Neurosurgery, Otolaryngology, Cosmetic, Vascular, Trauma, Transplant, Urology, Plastics, or… more
    Baylor Scott & White Health (08/23/25)
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  • RN Care Manager - DSNP

    Molina Healthcare (TX)
    …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) will be supporting DSNP. This position will have a case load and ... manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems,… more
    Molina Healthcare (08/23/25)
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  • Claims Auditor (Remote)

    WTW (Dallas, TX)
    …claims administration knowledge, including experience with medical, dental, mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding ... protocols + Excellent oral and written communications skills + Team player with strong work ethic + Self-directed; requiring very little supervision + Previous internal audit experience at a carrier or third-party external audit experience a plus… more
    WTW (08/23/25)
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  • Medical Assistant II - Clear Lake Pediatric ENT

    UTMB Health (Texas City, TX)
    …distributed and authorized deferments, + Registration including eligibility, demographics and Medicare and third party coverage, communicates any obstacle to access ... or authorization to patient, referral source, UTMB Physician and clinical staff appropriately, + Dispositions patient within designated timeline. + Specialty/other + All Medical Assistant Essential Job Functions, and + Proficient in multiple specialty… more
    UTMB Health (08/23/25)
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  • Social Worker MSW

    HCA Healthcare (Lewisville, TX)
    …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
    HCA Healthcare (08/23/25)
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  • AVP Software Engineering for Marketing…

    Humana (Houston, TX)
    …are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
    Humana (08/23/25)
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  • Medical Business Office Supervisor

    HCA Healthcare (Houston, TX)
    …performed more than 100,000 endoscopic procedures. We are certifiedby the Centers for Medicare and Medicaid Services (CMS). Also, we have achieved the highest level ... of accreditation by the AccreditationAssociation for Ambulatory Health Care (AAAHC). Physicians Endoscopy Center is a member ofSurgery Ventures powered by HCA Healthcare. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the… more
    HCA Healthcare (08/23/25)
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