- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Paso **Preferred Qualifications:** + Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification ... medical staff information + Assists the Credentialing Services Managing Director and Manager in ensuring compliance with relevant Joint...required + Three years of Credentialing experience in a managed care plan, medical staff services office… more
- HCA Healthcare (Austin, TX)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …manager who occupies a key management position at the VA North Texas Health Care System (VANTHCS). The DLO serves as a senior educator within the VANTHCS liaison ... Education and Learning Resources Service, VA North Texas Health Care System Responsibilities Duties include but are not limited...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
- Merck (Austin, TX)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Improvement, Health Outcomes, Hospital Sales, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Pharmaceutical Sales Training, Sales… more
- Merck (Austin, TX)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Management, Customer Strategy, Health Economics, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product Knowledge,… more
- Merck (Austin, TX)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Improvement, Health Outcomes, Hospital Sales, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Pharmaceutical Sales… more
- UTMB Health (Austin, TX)
- … Care Management UTMB Health Requisition # 2505734 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... Department (TJJD). **_JOB SUMMARY_** **:** Under the direction of the Clinical Director or Staff Psychiatrist - Outpatient, provides direct psychiatric care … more
- Datavant (Austin, TX)
- …payor guidelines. * **What you will bring to the table:** + Two (2) years managed care experience in UM/CM/CDI Department preferred + Knowledge of CMS, State ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted… more
- UTMB Health (Woodville, TX)
- …Patient Care UTMB Health Requisition # 2502922 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... Services policies. Works under supervision of the Cluster Dental Director with latitude for the exercise of independent judgement....+ Contributes to the success of the UTMB Correctional Managed Care operation. + Adheres to internal… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more