• Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Fort Worth, TX)
    …data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You surface systemic issues, steer partners toward durable fixes, ... complaint to the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * Track record coordinating cross-functional action plans with… more
    Molina Healthcare (07/13/25)
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  • Lead Analyst - Technical PM Identity and Access…

    Molina Healthcare (Dallas, TX)
    …software engineers on multiple projects for project deliverables, assess deliverables' quality , plan, and implement corrective and preventive actions to improve ... application quality . + Perform Business Role Analysis and oversee the...lifecycle KPIs and audit results to identify areas for improvement . + Train business stakeholders on IAM processes, governance… more
    Molina Healthcare (06/25/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Austin, TX)
    …oversight of data entered through both automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees ... state, federal, and internal audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory… more
    Molina Healthcare (08/01/25)
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  • Manager of Health Information Management - Medical…

    Prime Healthcare (Weslaco, TX)
    …and enduring maintenance of hospital medical records while maintaining continuous quality improvement . The Manager maintains operations within budgetary ... acute care hospital, and a member of the Prime Healthcare Foundation. Located in Weslaco, TX, we provide exceptional...+ Centers For Medicare & Medicaid Services (CMS) Five-Star Quality Rated + LeapFrog Hospital Safety Grade Straight A's… more
    Prime Healthcare (08/11/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (San Antonio, TX)
    …as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation performance ... experience as a Molina Medical Director + Demonstrated experience in Utilization/ Quality Program management + Previous leadership experience + Peer review, medical… more
    Molina Healthcare (06/13/25)
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  • Stroke and Chest Pain Data Abstractor

    Prime Healthcare (Mesquite, TX)
    …coordination, integration, and implementation of the organization wide performance improvement activities to ensure compliance with company policies and ... are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options +...reviews, data abstraction for CMS Core Measures and other quality outcomes studies, and staff education regarding core measures… more
    Prime Healthcare (09/04/25)
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  • Sr. Director, RWD Analytics and Innovation…

    Norstella (Austin, TX)
    Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... to maximize the value of real-world data. + Ensure data quality , consistency, and compliance with relevant regulations and standards.Communicate complex analytical… more
    Norstella (07/09/25)
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  • Medical Surgical ICU Registered Nurse

    HCA Healthcare (Plano, TX)
    …for future self-management. + Manages evidence-based practices and continuous process improvement initiatives to meet and exceed quality measures and ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
    HCA Healthcare (09/05/25)
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  • Registered Nurse - Ambulatory Surgery

    Prime Healthcare (Weslaco, TX)
    …Primary Stroke Center, and Level II Newborn Nursery. Knapp has been providing quality and compassionate healthcare to Mid-Valley residents for 60 years. More ... an award-winning team of dedicated professionals committed to our core values of quality , compassion, and community! Knapp Medical Center, a member of the Prime … more
    Prime Healthcare (08/08/25)
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  • Clinical Laboratory Scientist III

    HCA Healthcare (Live Oak, TX)
    …Lifeline(R) Bronze Receiving Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart Association for ... -- Rotating Weekends Do you have a passion for healthcare and helping others? Do you enjoy working in...for accurate test results, maintenance of complicated instruments, monitoring quality control and quality assurance programs, assuring… more
    HCA Healthcare (07/05/25)
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