• Medicare Member Engagement…

    Molina Healthcare (San Antonio, TX)
    …team members, and manager. Basic understanding of managed healthcare systems and Medicare . ** PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social ... Work, Human Services, or related field. ** PREFERRED EXPERIENCE:** Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. To all… more
    Molina Healthcare (11/13/25)
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  • Medicare Sales Specialist Hourly…

    CVS Health (Austin, TX)
    …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... + Proficient computer skills and knowledge of Microsoft Office ** Preferred Qualifications** + 1 to 2 years Medicare...** Preferred Qualifications** + 1 to 2 years Medicare sales experience + Medicare call center… more
    CVS Health (11/13/25)
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  • Charge Description Master Specialist

    Providence (TX)
    **Description** **Charge Description Master Specialist \*Remote-Most states eligible As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the ... CDM Specialist shall ensure that the Chargemaster (CDM) is consistent...with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10… more
    Providence (11/22/25)
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  • Medication Therapy Management Specialist

    Prime Therapeutics (Austin, TX)
    …operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge ** Preferred Qualifications** + Contact Center experience + ... every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service … more
    Prime Therapeutics (10/31/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Dallas, TX)
    …, utilization review, informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...documentation + Proficient in MS Word, Excel and PowerPoint preferred + Proficient in Electronic Medical Record (EMR) software,… more
    Deloitte (11/21/25)
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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 ... degree or higher from an accredited school of Nursing + Master's degree preferred **WORK EXPERIENCE** + Five years of hospital clinical nursing experience, which… more
    Houston Methodist (11/02/25)
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  • Patient Therapy Access Specialist

    Abbott (Plano, TX)
    …a week position. Preferred hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott patients with the pre-certification, ... **The Opportunity** Our location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days… more
    Abbott (11/18/25)
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  • Clinical Denial Coding Review Specialist

    HCA Healthcare (Plano, TX)
    …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
    HCA Healthcare (11/26/25)
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  • Patient Care Orders Specialist

    Elara Caring (Dallas, TX)
    …at the Right Time, in the Right Place. **Job Description:** **Patient Care Orders Specialist ** At Elara Caring, we care where you are and believe the best place ... to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and...to make a difference as the Patient Care Orders Specialist . Being a part of something this great, starts… more
    Elara Caring (11/27/25)
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  • Insurance Collections Specialist - CBO

    HCA Healthcare (Austin, TX)
    …is recognized. Submit your application for the opportunity below:Insurance Collections Specialist - CBOSurgery Ventures **Benefits** Surgery Ventures offers a total ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
    HCA Healthcare (10/30/25)
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