• Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (El Paso, TX)
    …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
    Molina Healthcare (08/24/25)
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  • Sr Consultant

    Public Consulting Group (Austin, TX)
    …to meet with and support clients. **Duties And Responsibilities** + Serves as project manager and subject matter expert, independently managing complex projects, ... agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it is… more
    Public Consulting Group (07/29/25)
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  • Lead Cloud Network Engineer

    Humana (Austin, TX)
    …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where...through CCNP or the equivalent** + 5+ years of project leadership experience. + 8+ years of Layer 2/… more
    Humana (08/20/25)
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  • Utilization Review Nurse - Case Management - PRN

    Houston Methodist (The Woodlands, TX)
    …care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ESSENTIAL ... guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial of payment. +… more
    Houston Methodist (07/12/25)
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  • Senior Clinical Programs Pharmacist

    CenterWell (Austin, TX)
    …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience...and ability to lead teams + Previous program or project management experience + Proven success in leading teams… more
    CenterWell (08/08/25)
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  • Senior Application Architect Contact Center…

    Humana (Austin, TX)
    …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... information to the application at Humana's secure website. + Position reports to Manager , Technology Solutions, IT HPE - Digital Channels & Contact Centers +… more
    Humana (08/27/25)
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  • Principal, Financial Planning & Analysis,…

    Humana (Austin, TX)
    …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... CFOs, CenterWell Strategy, CenterWell Operations, and Integrated Health teams + Project manage Executive leadership requests that fall across the CenterWell… more
    Humana (08/19/25)
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  • Primary Care Physician

    CenterWell (Arlington, TX)
    …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (08/08/25)
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