- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25% field travel MA RN license...clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work… more
- UTMB Health (Galveston, TX)
- Epic Ancillary IS Manager (Beaker, Radiant, Cupid, & Lumens), Remote - ITS-Clinical Integration/Tech **Galveston, Texas, United States** Information Technology ... internal controls for the department; provides mechanisms to monitor and enforce compliance . **Knowledge/Skills/Abilities:** + Ability to manage remote teams as… more
- Providence (TX)
- …them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, and other ... witnesses, assist with the discovery process and communicate with facility risk manager regarding evaluation and investigation + Be responsible for writing insurance… more
- GovCIO (Austin, TX)
- …in governance and compliance principles and best practices + Experience in Healthcare IT systems or solutions + Excellent planning and product oversight skills + ... **Overview** GovCIO is looking for a Project Manager to join our Health PMO team. The...organizational strategy and objectives. This is a fully US-based remote position with core hours of operation from Monday… more
- Stryker (Dallas, TX)
- …strategy through customer focus and innovation. Our remit spans strategic, operational, compliance , and financial risks. The Manager will support the Senior ... support internal audit activities within the MedTech industry. The Manager will have exceptional leadership, cross-functional collaboration, and effective… more
- Molina Healthcare (TX)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... + Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes and identify… more
- Molina Healthcare (TX)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist. The Sr. Specialist, Digital Marketing will be responsible for analyzing and ... **Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar)… more
- Carrington (Plano, TX)
- **Come join our amazing team and work remote from home! Please note that this position will require to travel from time to time.** The Learning & Development ... Manager will be part of the Learning & Leader...hire training, new hire orientation. Perform all duties in compliance with all company policies and procedures and state… more
- Datavant (Austin, TX)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the… more