- Deloitte (Dallas, TX)
- …payors, pharmacies and patients. + Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate ... Pharmacy Benefit Manager/ Health & Group Benefits...content. + Demonstrated knowledge of at least three US health & welfare benefit plan ...at least three US health & welfare benefit plan types (such as life, disability,… more
- Elevance Health (Dallas, TX)
- …and participation in client meetings as requested. + Interface with Health Plan stakeholders, Pharmacy Benefits Management (PBM) leadership, and senior ... York, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
- ManpowerGroup (Houston, TX)
- …requirements in accordance with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management . * Ensure ongoing compliance with federal ... internal and external auditing and real-time monitoring activities related to the Health Plan 's regulatory and contractual requirements in accordance with the… more
- CommonSpirit Health (Houston, TX)
- …programs and in accordance with the CommonSpirit Health Corporate Responsibility Plan . + Provides management and support for region level CRP ... This position will assist in the administration of CommonSpirit Health 's Corporate Responsibility Program (CRP) for specific assigned markets/entities within… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina...serves as the primary point of contact between Molina Health plan and the Provider community that… more
- CVS Health (Austin, TX)
- …for drafting, reviewing, and amending or restating medical, dental, and vision plan documents, including Summaries of Benefits and Coverage (SBCs). You ... Team:** Supports onboarding new groups, assists clients in finalizing benefit designs, and drafts initial plan documents...+ Knowledge and experience with medical, dental, and vision benefits . + Familiarity with benefit terminology. +… more
- Prime Therapeutics (Austin, TX)
- …setting. + In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology ... medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior… more
- Baylor Scott & White Health (Temple, TX)
- …and retention of pharmacy benefits customers, working collaboratively with Health Plan business partners. + Integrates the clinical, administrative, and ... type and/or level **Job Summary** The Vice President Pharmacy Health Plan (HP) oversees planning, directing, and...knowledge of managed care and pharmacy benefit management . This includes prescription drugs, benefits design,… more
- CVS Health (Austin, TX)
- …quality claim service. + Determine and understand the coverage provided under a member's health plan + Efficiently use multiple systems and screens to obtain and ... be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan **… more
- CVS Health (Austin, TX)
- …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more