• Managed Care Contract

    AccentCare, Inc. (Dallas, TX)
    Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: ... Salary: $55,000 to $63,000 per year DOE Find Your Passion and Purpose as a Managed Care Contract Specialist What You Need to Know Reimagining Your Career… more
    AccentCare, Inc. (10/25/25)
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  • Associate Director Managed Services

    Guidehouse (San Antonio, TX)
    **Job Family** **:** Financial Account Specialist **Travel Required** **:** None **Clearance Required** **:** Ability to Obtain Public Trust **What You Will Do** ... components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at… more
    Guidehouse (09/29/25)
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  • Account Resolution Specialist

    Prime Healthcare (Harlingen, TX)
    …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
    Prime Healthcare (10/14/25)
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  • Appeals & Grievances Specialist (PST Time…

    Molina Healthcare (Dallas, TX)
    …requests from outside agencies. **Required Qualifications** + At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... proficiency. **Preferred Qualifications** + **C** ustomer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other… more
    Molina Healthcare (10/29/25)
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  • Talent Acquisition Specialist

    Mass Markets (Killeen, TX)
    …as a trusted partner in the industry. We're looking for a Talent Acquisition Specialist to support our growing team by managing the full recruitment life cycle. If ... WHAT DOES SOMEONE IN THIS ROLE ACTUALLY DO? As a Talent Acquisition Specialist , you'll handle everything from sourcing candidates to onboarding new hires. You'll… more
    Mass Markets (10/11/25)
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  • Specialist , WSO Specialized Account…

    S&P Global (Dallas, TX)
    …risk. Our solutions are available as a hosted software or a fully outsourced managed service. **The Impact:** You will work within a dynamic team, responsible for ... (SAAS) technology. + As a Specialized Account Services Sr Specialist you are expected to support our clients and...adhered to + Accurately reviewing and maintaining asset and contract data + Monitoring and actioning exceptions + Additional… more
    S&P Global (10/23/25)
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  • Middleware Integration Support Specialist

    RTX Corporation (Austin, TX)
    …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required RTX Corporation is an Aerospace and ... join our RTX Enterprise Services team:** The Middleware Integration Support Specialist will sustain integration interfaces and deliver innovative, high quality… more
    RTX Corporation (10/28/25)
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  • Bilingual Talent Acquisition Specialist

    Mass Markets (Killeen, TX)
    …WHAT DOES SOMEONE IN THIS ROLE ACTUALLY DO? As a Talent Acquisition Specialist , you'll manage the full recruitment life cycle from sourcing and screening candidates ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
    Mass Markets (10/10/25)
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  • Sales Specialist

    Mass Markets (TX)
    …industry-leading organization. We are seeking a dynamic and results-drivenOn-SiteSales Specialist to join our high-volume, fast-paced contact center team. If ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
    Mass Markets (08/28/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
    Mass Markets (08/28/25)
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  • Senior Business Development Specialist

    Mass Markets (TX)
    …project delivery. Partner with marketing, product, and operations teams to deliver contract -winning solutions. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT ... BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market… more
    Mass Markets (08/09/25)
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  • Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Fort Worth, TX)
    …requests from outside agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other… more
    Molina Healthcare (10/26/25)
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  • Principal Specialist Program Cost Controls…

    RTX Corporation (Mckinney, TX)
    …a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace We are currently seeking an experienced Principal ... earned value / project management purposes + Establish a Contract Work Breakdown Structure (CWBS) and CWBS Dictionary +...virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… more
    RTX Corporation (10/16/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, TX)
    …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
    Molina Healthcare (10/26/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (TX)
    …High School Diploma or equivalency **REQUIRED EXPERIENCE:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
    Molina Healthcare (10/17/25)
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  • Occupational Health RN - FT Smith

    Houston Methodist (Houston, TX)
    …health assessments on all new post-offer candidates, allied health professionals (not managed by medical staff credentialing), and other contract , agency, ... Occupational Health Nurse position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical care for occupational… more
    Houston Methodist (10/17/25)
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  • Credential Delegation Analyst

    Highmark Health (Austin, TX)
    …+ High school diploma /GED + 3 years of experience required in health care / managed care + 3 years of experience in credentialing/re-credentialing of ... Establish and implement monitoring processes to evaluate performance against contract standards, requirements and performance expectations. + Identify opportunities… more
    Highmark Health (09/30/25)
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