• Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
    Humana (08/14/25)
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  • Supervisor, Advanced Practice Provider

    MD Anderson Cancer Center (Houston, TX)
    …*We are seeking a highly motivated and collaborative Supervisor, Advanced Practice Provider to join our Pain Medicine Department. The ideal candidate will have ... of two years of experience as an advanced practice provider . Prior experience in pain management is strongly preferred,...The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color,… more
    MD Anderson Cancer Center (07/11/25)
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  • Medicaid Provider Customer Service…

    CVS Health (Austin, TX)
    …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... platforms to assist providers with payment questions. + Educate provider with related information to answer the unasked questions,...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
    CVS Health (08/16/25)
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  • Ld Director, Medicaid Provider Compliance

    CVS Health (Austin, TX)
    …all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider ... with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations.… more
    CVS Health (08/20/25)
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  • Epic Provider Efficiency Analyst

    Baylor Scott & White Health (Temple, TX)
    …College Station **Essential Functions of the Role** + Create, modify and track provider efficiency, provide timely feedback and effectively coach in best ... system updates and changes, and communicates those changes to provider end users and team members. + Provide... provider end users and team members. + Provide ongoing application help and end user training for… more
    Baylor Scott & White Health (08/08/25)
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  • Nocturnal Advanced Practice Provider

    MD Anderson Cancer Center (Houston, TX)
    The primary purpose of the Midlevel Provider is to provide patient care in the inpatient setting. The Midlevel Provider will work as a member of the MLP ... Nocturnal Coverage Team to provide initial assessment and management of urgent issues at...or critical care needs across the institution. The Midlevel Provider will facilitate communication and carry out orders from… more
    MD Anderson Cancer Center (08/08/25)
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  • Adjudicator, Provider Claims (LTSS Call…

    Molina Healthcare (Fort Worth, TX)
    **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
    Molina Healthcare (08/27/25)
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  • Advanced Practice Provider , Department…

    UTMB Health (Galveston, TX)
    …budgetary target business and clinical indicators. **ESSENTIAL JOB FUNCTIONS:** As a care provider , provide primary health care to the patient and family ... Advanced Practice Provider , Department of Obstetrics & Gynecology, Regional Director...Patient Care UTMB Health Requisition # 2503408 **Job Description:** Provide competent, age specific health care to women and… more
    UTMB Health (06/25/25)
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  • Provider Network Manager Sr- Contracting

    Elevance Health (Houston, TX)
    …adaptable workplace. Alternate locations may be considered. **Develops the provider network through contract negotiations, relationship development, and servicing. ... and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard… more
    Elevance Health (08/28/25)
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  • Senior Software Engineer - Provider Data…

    Humana (Austin, TX)
    …Contract Requires US Citizenship for this Position. Overview: Join Humana Military's Provider Data Solutions team to support the TRICARE T5 contract and deliver ... work within a caring, collaborative environment. Our team works with large-scale provider data and plays a key role in processing, preparation, dissemination, and… more
    Humana (08/26/25)
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