• Medicaid Eligibility Advocate

    HCA Healthcare (San Antonio, TX)
    …**Introduction** Do you want to join an organization that invests in you as a Medicaid Eligibility Advocate ? At Parallon, you come first. HCA Healthcare has ... you have the opportunity to make a difference. We are looking for a dedicated Medicaid Eligibility Advocate like you to be a part of our team. **Job Summary… more
    HCA Healthcare (08/30/25)
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  • Telephone Triage Registered Nurse

    HCA Healthcare (San Antonio, TX)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** You contribute… more
    HCA Healthcare (09/07/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Mcallen, TX)
    …needs for potential entry into a higher level of care and/or waiver eligibility , as applicable + Reviews member data to identify trends and improve operating ... options, referrals, and healthcare benefits + Acts as liaison and member advocate between the member/family, physician, and facilities/agencies + Educates on and… more
    Centene Corporation (08/30/25)
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  • Lead Product Manager, Next Best Action Decision…

    Humana (Austin, TX)
    …a reusable capability embedded in priority journeys-defining logic templates, triggers, eligibility rules, and prioritization models that can scale across lines of ... and educate senior stakeholders across lines of business to advocate for NBA adoption and integration + Serve as...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (09/03/25)
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  • LTSS Service Care Manager - Behavioral Health

    Centene Corporation (Austin, TX)
    …of care for the best outcome + Acts as liaison and member advocate between the member/family, physician, and facilities/agencies + Supports members with primarily ... and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers… more
    Centene Corporation (08/30/25)
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  • UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    …in treatment plans. * Verify insurance coverage and benefits to determine eligibility for services. * Communicate with insurance providers to obtain authorization ... expected to do presentations as directed. Working knowledge of criteria for Medicare, Medicaid , HMO, and private insurance carrier's coverage details. * Ability to … more
    San Antonio Behavioral Health (06/28/25)
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