• Managed Care Pharmacy Resident

    Elevance Health (Grand Prairie, TX)
    …care management process through reviewing member profiles, recommending members for lock-in, case management or disease management . + Respond to and ... for various operational or clinical aspects of the CarelonRx pharmacy program , including Prior Authorizations, Medication Therapy Management (MTM), Lock-in,… more
    Elevance Health (10/20/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies and… more
    Molina Healthcare (11/14/25)
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  • Scrum Master - Remote US

    SitusAMC (Austin, TX)
    …be eligible to receive a discretionary bonus as determined by bonus program guidelines, position eligibility and SitusAMC Senior Management approval. SitusAMC ... automation to streamline repetitive tasks and improve overall efficiency. + **Resource Management ** + Manage resource allocation, ensuring that team members have the… more
    SitusAMC (11/13/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (TX)
    …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. + Identifies… more
    Molina Healthcare (09/06/25)
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  • Clinical Research Specialist - Cancer Clinical…

    Houston Methodist (Houston, TX)
    …is responsible for supporting multiple projects under supervision of Clinical Trial Manager which may include clinical research protocols, gathering patient data via ... Performs clinical research support functions as assigned by the clinical trial manager including but not limited to informed consent for non-interventional studies,… more
    Houston Methodist (11/14/25)
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  • Java - Mainframe Programmer

    GovCIO (Austin, TX)
    …Defense Counterintelligence Security Agency (DCSA), Background Information Systems (BIS), Case Processing and other background investigation systems. The successful ... security, and other support entities. ServiceNow is the primary workflow management tool used within the environment. Specific responsibilities will include: +… more
    GovCIO (11/07/25)
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  • Commercial Director of Quality Engineering

    HP Inc. (Spring, TX)
    …the Quality teams with each of the main Commercial GBU functions (System Management , R&D, Planning, Marketing, etc) and to gain strategic alignment on PLC ... through 2025 to 2027, through the main pillars of Reliability, Risk Management , E2E Solutions Validation and Operational Processes. Define outcomes (short term and… more
    HP Inc. (11/06/25)
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  • Senior Engineer - Pega Architect

    Bank of America (Addison, TX)
    …and excellent understanding of Banking. + Strong proven experience in workflow / Case Management solutions using Pega. + Strong proven experience in handling ... either a single team or multiple teams, at the program level + Conducts research, design prototyping and other...such as evaluating new toolsets and components for release management , CI/CD, and features + Works with stakeholders to… more
    Bank of America (09/23/25)
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  • Client Service Coordinator

    AccentCare, Inc. (Odessa, TX)
    Manager * Functions as liaison for Field Supervisors in communication with payer Case Management teams * Supports recruiting and onboarding needs of team * ... client visits by Field Supervisor * Assists Client Service Manager in the presentation of staff training related to... in the presentation of staff training related to program requirements for newly hired and current office employees… more
    AccentCare, Inc. (11/08/25)
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  • Leave of Absence Coordinator

    Sedgwick (Irving, TX)
    …stable and consistent work environment in an office and/or virtual setting + A training program to learn how to help employees and customers from some of the world's ... most reputable brands + An assigned mentor and manager who will guide you on your career journey...for client paid leave plans ensuring that on-going claim management is within company service standards and industry best… more
    Sedgwick (11/07/25)
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