- HCA Healthcare (Dallas, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …(OPPE) process. Adheres to employee health requirements. Participates in Clinical Pertinence Reviews (routine medical record reviews). Directs an Infection ... VA Time and Attendance System (VATAS) and for clinic. Clinical Management including indirect patient care: open encounter &...the development of the new focus on the Medical Home and Patient Centric Care, Utilization, Quality, and Patient… more
- The Cigna Group (Houston, TX)
- …Manages complex contracting and negotiations for fee for service and value- based reimbursements with hospitals and other providers (eg, Hospital systems, ... + Builds relationships that nurture provider partnerships and seeks broader value- based business opportunities to support the local market strategy. + Initiates… more
- Highmark Health (Austin, TX)
- …business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry trends in both the ... Continuously evaluates models and seeks for innovative ways to make improvements based on data and market research. Working closely with Contracting and Provider… more
- Actalent (Houston, TX)
- …: Job Description: Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, ... years of work experience in retail, managed care, or clinical pharmacy + Doctor of Pharmacy (PharmD) or Bachelor...the position is located Job Type :This is a contract position with a duration of 6 Month(s) Work… more
- Adecco US, Inc. (Houston, TX)
- …pharmacists! For this role you must reside within Texas. This role is work from home and all equipment is provided. Please read below and apply with an updated ... resume for consideration. **Type:** 9-month contract starting in September, opportunity for extension or full-time...a weekend day(s) **Pay:** $54.70 to $59.64 an hour, based on location . Training for the first four… more
- Sevita (El Paso, TX)
- … clinical training in conjunction with the Medical Director + Apply expert clinical judgment to care situations based on accepted nursing standards, state ... and integrate care using community resources in collaboration with Clinical Team and others Compile and analyze QA data...professionals.** **_Apply Today!_** Sevita is a leading provider of home and community- based specialized health care. We… more
- Evolent (Austin, TX)
- …+ Proven track record of accomplishment on execution of population health, value- based care, clinical quality and growth initiatives within a progressive ... health plan executives to drive new business. + Lead contract negotiations and partnership agreements. + Collaborate with internal...Passion for healthcare and subscribed to the vision of value- based care + Strong familiarity with risk- based … more
- Centene Corporation (Corpus Christi, TX)
- …years of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LPC, or RN ... Driscoll, Bishop, or Falfurrias, TX** **Hybrid Role: Work from home and travel 3 days per week for IN-PERSON...authorization to members and care managers for various services based on service assessment and plans (eg, meals, employment,… more
- UT Health San Antonio (San Antonio, TX)
- …With an unwavering commitment to a resource and fiscal package to support clinical and academic missions, and a unique environment and growth strategy to meet ... elevating the division's scholarly activities. Opportunity Highlights: . The division is currently home to an outstanding Cystic Fibrosis Clinic, which is led by Dr.… more