• Contract Strategy & Business Engagement…

    Abbott (Austin, TX)
    …Our team in **Austin, TX (or Alpharetta, GA)** is looking for a ** Contract Strategy & Business Engagement Manager ** **.** This person will spearhead ... the development, execution, and optimization of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying… more
    Abbott (08/01/25)
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  • Payment Integrity Program Manager - Health…

    Molina Healthcare (Fort Worth, TX)
    …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... should be knowledgeable of and have experience with South Carolina Medicaid **Job Summary** Provides subject matter expertise and responsibility for oversight,… more
    Molina Healthcare (08/14/25)
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  • Clinical Program Manager - Payment…

    Molina Healthcare (TX)
    …Claims and CIC coding experience (STRONGLY DESIRED)** + Experience with Medicare, Medicaid , and Marketplace lines of business. + Project Management Experience. ... goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits &… more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
    Molina Healthcare (08/14/25)
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  • Medicare Program Manager IV

    Centene Corporation (Austin, TX)
    …benefits. Program Manager IV is responsible for development, aspects of contract and rate negotiations, developing complex benefits that support Medicaid ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and… more
    Centene Corporation (08/02/25)
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  • Case Manager Certified - Full Time - Days

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
    Houston Methodist (08/23/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
    Houston Methodist (08/08/25)
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  • Supplemental Benefit Program Manager III

    Centene Corporation (Austin, TX)
    …benefits. Program Manager III is responsible for development, aspects of contract and rate negotiations, developing complex benefits that support Medicaid ... End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly… more
    Centene Corporation (07/18/25)
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  • Medicare Product Development Manager…

    Molina Healthcare (Fort Worth, TX)
    …of experience in Healthcare (payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, Procurement, Project Management, or Account ... with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional… more
    Molina Healthcare (07/25/25)
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  • Manager , Coding & QA Clinical - Revenue…

    UTMB Health (Galveston, TX)
    Manager , Coding & QA Clinical - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2504148 ... manages all coding activities related to clinical coding. The Manager of Coding ensures accurate and timely coding of...* Knowledge of federal and state collection laws, Medicare, Medicaid , and other third-party pay or regulatory requirements. *… more
    UTMB Health (08/08/25)
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