• Inpatient Coding Denials Specialist

    HCA Healthcare (El Paso, TX)
    …come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **This position ... Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance.… more
    HCA Healthcare (07/26/25)
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  • Senior Corporate Counsel, Compliance & Commercial

    NASCO (Austin, TX)
    …transactions, including technology agreements, and provides compliance guidance and support throughout the organization to ensure our products and services ... related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with...risks and provide practical solutions to complex issues to support our compliance programs + Ability to work effectively… more
    NASCO (06/27/25)
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  • Care Experience Manager

    Aveanna Healthcare (Mesquite, TX)
    …New Hire Orientation + Employee Resource Groups for Community and Support Position Details: Compensation:$40,000.00+ base salary, quarterly bonuses, paid rotating ... and address cost containment to ensure efficient case assignments. + Evaluate and support staff performance with a positive approach. + Provide 24/7 on-call … more
    Aveanna Healthcare (09/02/25)
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  • Grievance & Appeals Representative

    Humana (Austin, TX)
    …The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May ... 3 assists members, via phone or face to face, further/ support quality related goals. Investigates and resolves member and...and speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS)… more
    Humana (09/02/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …for anywhere from 1 - 3 months according to individual needs, with continued support throughout your career here! This is a fully remote position and available if ... have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding… more
    Banner Health (08/30/25)
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  • Service Advocate - Onsite

    CVS Health (San Antonio, TX)
    …who handle Medicare individual inbound calls, serving as a crucial support system for Customer Service Representatives (CSRs). Your role will involve assisting ... with questions and workflows during active calls, providing accurate and timely support . You will also directly handle escalated member issues, working to… more
    CVS Health (08/28/25)
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  • Senior Professional Business Intelligence Engineer

    Humana (Austin, TX)
    …candidates to join our **Medicaid Insurance Products and Benefits Organization** to support the strategic direction and growth of the Medicaid and Duals lines ... reporting and data analysis + 3+ years of health care experience for Medicare and/or Medicaid populations + Proven experience with tools such as PowerBI, Tableau… more
    Humana (08/27/25)
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  • Staff Utilization Management Pharmacist (VSP/PT)

    Humana (Austin, TX)
    …may intervene and provide clinical guidance to patients and providers to support cost-effective medication use and promote high-quality patient outcomes. **Use your ... residence + Eligibility to participate in federal prescription programs (eg, Medicare /Medicaid) + Self-directed with the ability to work effectively both… more
    Humana (08/27/25)
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  • AVP, Encounters

    Molina Healthcare (Fort Worth, TX)
    …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... partnerships supporting the production of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across… more
    Molina Healthcare (08/22/25)
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  • Case Management Representative - Willowbrook

    Houston Methodist (Houston, TX)
    …Representative position is responsible for providing clerical assistance and data management support to the case management and social work department to facilitate ... performs a wide variety of administrative duties of a higher complexity in support of Case Management operations. In addition, the CM Rep position performs… more
    Houston Methodist (08/20/25)
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