- Texas Health Resources (Arlington, TX)
- Patient Safety/Grievance Program Manager - TH Urgent Care (Breeze), Full-time, Days _Bring your passion to Texas Health so we are Better + Together_ Work ... location: THR/Texas Health Urgent Care , 612 E Lamar, Arlington, TX 76011 Work hours:...40 hours/week, Monday-Friday, 8 am - 4pm; Position is remote but local to DFW area (THR service area)… more
- UMB Bank (Austin, TX)
- …retail branch. This associate works closely with the Compliance and Oversight Program Manager and reports to the Director of Compliance & Oversight for Consumer ... other insurance coverage; health savings, flexible spending, and dependent care accounts; adoption assistance; an employee assistance program; fitness reimbursement;… more
- Molina Healthcare (San Antonio, TX)
- …meetings with vendors for the medical record collection process. + Assists Manager and Supervisor(s) in training, utilizing the standardized training materials and ... entry and Sr. level abstractors. + Works with the Manager to monitor accuracy of abstracted records as required...of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA.… more
- Molina Healthcare (TX)
- …QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either at a health ... able to confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for the audit team… more
- Sharecare (Austin, TX)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of making… more
- Centene Corporation (Austin, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **Registered Nurse Care Manager for STAR + PLUS, working with ADULT members.** ... or Williamson County. Mileage reimbursement is provided.** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical… more
- Centene Corporation (Corpus Christi, TX)
- …adults (18- 65)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... service needs and develops or contributes to development of care plans/service plans, and educates members, their families and...resiliency skills. . Experience working in FIELD based Case Manager /Social Worker roles is a PLUS . Experience working… more
- Centene Corporation (San Antonio, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **100% Remote ** **Licensure Requirement: LPC, LCSW or LMHC** **Must reside and be ... state of TX** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members… more
- Centene Corporation (San Antonio, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **90% Remote Position** **Must be licensed and reside in the Houston Texas area** ... **Foster Care Experience Preferred** **Position Purpose:** Develops, assesses, and facilitates...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Molina Healthcare (San Antonio, TX)
- …review and/or Provider appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS ... experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education** Bachelor's degree Previous Director experience. To… more