• Senior Program Manager

    Molina Healthcare (Houston, TX)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
    Molina Healthcare (10/02/25)
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  • Senior Analyst, Operational Regulatory…

    Molina Healthcare (Houston, TX)
    …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
    Molina Healthcare (08/22/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Houston, TX)
    …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
    Elevance Health (10/09/25)
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  • Physician PRN

    CenterWell (Houston, TX)
    …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
    CenterWell (10/07/25)
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  • Center Clinical Director

    ChenMed (Houston, TX)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent...(TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for… more
    ChenMed (10/03/25)
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  • Field Sales Professional

    CenterWell (Houston, TX)
    …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
    CenterWell (10/08/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …within the Center. + Participate in the local primary care "on-call" program of CenterWell as needed. + Ensure personal compliance with licensing, certification, ... an impact** **Required Qualifications** + Graduate of an accredited MD or DO program ; successful completion of an accredited ACGME/AOA residency program . + Board… more
    CenterWell (07/28/25)
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  • Pharmacist, Utilization Management (UM)

    Molina Healthcare (Houston, TX)
    …skills. * Microsoft Office suite (including Excel), and applicable software program (s) proficiency. **Preferred Qualifications** * Medicare Part D and/or ... care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...pharmacy call center team under the direction of pharmacy senior leadership. * Identifies and implements programs to improve… more
    Molina Healthcare (10/09/25)
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