- Molina Healthcare (Houston, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Fort Worth, TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Royal Electric (Dallas, TX)
- …We have a current opening for a Project Manager with Healthcare project experience in Dallas, TX. The Healthcare Project ... documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost… more
- Molina Healthcare (San Antonio, TX)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Molina Healthcare (San Antonio, TX)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other...Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare … more
- Molina Healthcare (Fort Worth, TX)
- …of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment ... Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in...increase operational efficiency, and effectiveness. **Knowledge/Skills/Abilities** + 8+ years Healthcare or Operational experience in related job. + 2… more
- Sanofi Group (Houston, TX)
- …detail-oriented problem solver with deep operational knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty ... pharmacy networks, and contract performance tracking. We are an innovative global healthcare company, committed to transforming the lives of people with immune… more
- HCA Healthcare (Kingwood, TX)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... Jump-start your career as a(an) Manager Patient Safety today with HCA Houston Healthcare Kingwood. **Benefits** HCA Houston Healthcare Kingwood offers a total… more
- Molina Healthcare (Houston, TX)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5… more
- HCA Healthcare (Houston, TX)
- …The Woman's Hospital of Texas which is a part of the nation's leading provider of healthcare services, HCA Healthcare . Do you want to work where you have a ... the care and improvement of human life. At HCA Healthcare , there are many ways for nurses to have...with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of records,… more