- Providence (TX)
- …for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media ... them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (San Antonio, TX)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... Network), for management and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees… more
- Walgreens (Fort Worth, TX)
- …with the Store Manager **Job ID:** 1661276BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... when using the pharmacy. Enhances customer experience by increasing focus on healthcare services. ** Operations ** + Responsible for assisting pharmacist in the… more
- Molina Healthcare (Fort Worth, TX)
- …outcomes and benefit realization + Demonstrates deep understanding of Core Operations , Claims and Enrollment processes, deliverables, vendor partners and ... productivity, quality, compliance + Articulates the goals and objectives of Molina Healthcare business units to vendors supporting operations of those units… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- Molina Healthcare (TX)
- …The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Royal Electric (Dallas, TX)
- …Short Story (https://www.royalelect.com/join-team-royal/) We have a current opening for a Project Manager with Healthcare project experience in Dallas, TX. The ... Healthcare Project Manager will support healthcare projects for the...team thoroughly understands project. + Facilitate coordination between Field Operations and Preconstruction (preplanning, prefabrication) and actively engage in… more
- The Cigna Group (Houston, TX)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... **Candidate will be required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as an integral member of the Provider… 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 ... Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and… more