- Molina Healthcare (TX)
- …(HR), Information Technology (IT), Legal, Compliance, Travel, Government Affairs, Communications and Health Plan Operations . + Designs, implements, and ... organizations, technical staff, and business units in the Protection Services Operations Center (PSOC) Team. Responsible for the monitoring and intelligence,… more
- Highmark Health (Austin, TX)
- …and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management ... business. This will require aligning new models to the health plan 's strategic objectives based on a...Plan , organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and… more
- Elevance Health (Houston, TX)
- …for this position. **Preferred Qualifications, Skills, and Experiences:** + Strong expertise in health plan operations highly preferred. + Pharmacy benefit ... Experience with medical drug cost containment or formulary strategy in a health plan or PBM setting highly preferred. + Strong working knowledge of… more
- Convey Health Solutions (Waco, TX)
- …meet the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION ... education degree (GED) About Us WHO WE ARE Convey Health Solutions manages a myriad of administrative needs and...myriad of administrative needs and make it easier for health plans to operate and provide valuable experiences for… more
- Kelsey-Seybold Clinic (TX)
- …put into practice software applications to respond to administrative issues related to health plan operations including claims resolution, premium billing, ... Member Service Representatives II-KSPA provide Concierge Service to members of the health plan which include providing a high level of service to callers and… more
- Molina Healthcare (Austin, TX)
- …point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations . Coordinates and facilitates meetings providing ... processing and maintenance of new members and re-enrollment. Processes and maintains health plan 's member and enrollment records, employer's monthly reports,… more
- Kelsey-Seybold Clinic (TX)
- …and external software applications to provide Concierge type services related to health plan operations including benefit interpretation for providers, ... **Responsibilities** Managed Care Representatives respond to inquiries from health plan members, providers and various customers while consistently meeting… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team… more
- Molina Healthcare (Houston, TX)
- …Education** Graduate Degree **Preferred Experience** + 4 years' experience in healthcare and/or health plan operations + Project management To all current ... Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.… more
- Covenant Health (Plainview, TX)
- **Description** **Supervisor Clinic Operations , Rural Health Clinic** **Under the supervision of the Director, directs the day-to-day operations of the ... Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental,… more