• Pharmacy Appeals Team

    Cognizant (Austin, TX)
    ** Pharmacy Appeals Team Lead (remote)** This is a remote position that is open to any qualified candidate who lives in the United States. Our Cognizant ... is currently seeking an individual to perform as a Team Lead that will have the following...following duties and work as part of our established pharmacy appeals team . The full-time… more
    Cognizant (10/30/25)
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  • Managed Care Pharmacy Resident

    Elevance Health (Grand Prairie, TX)
    **Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... as required by law. **Be Part of an Extraordinary Team ** A proud member of the Elevance Health family...and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Managed Care Pharmacy Resident**… more
    Elevance Health (10/20/25)
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  • Pharmacy Technician II

    Elevance Health (Grand Prairie, TX)
    ** Pharmacy Technician II** **Location:** TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300 **Hybrid:** This role requires associates to be in-office **1 - 2** days per week, ... law._** **Schedule:** Monday - Friday; Eastern Time Zone 10:30am - 7:00pm The ** Pharmacy Technician II** is responsible for the interpretation and data entry of… more
    Elevance Health (10/30/25)
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  • Gene and ACT Program Advisor - Evernorth Specialty…

    The Cigna Group (Austin, TX)
    The Product Strategy & Management team for Gene and Advanced Cellular Therapy (ACT) enhances operational effectiveness through strategic planning, tactical ... The Program Advisor will act as a strategic enabler, operational lead , and digital transformation advocate across high-impact initiatives. **Program Advisor Role… more
    The Cigna Group (10/25/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, ... standards, and contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
    Humana (10/25/25)
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  • Principal Analytics Consultant - Medical…

    Health Care Service Corporation (Richardson, TX)
    …communication and presentation skills. + Ability to work independently and as part of a team . + Ability to lead multiple analytic related projects in parallel. + ... Job Qualifications:** + Experience with Utilization Management data (eg authorizations, appeals , grievances) + Experience with DCMS healthcare data (eg MMR, Claims… more
    Health Care Service Corporation (10/16/25)
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