- 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
- Molina Healthcare (Austin, TX)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state +… more
- Molina Healthcare (TX)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- CVS Health (Austin, TX)
- …sponsors' benefit requirements and facilitate the design and implementation of customized healthcare benefit plans. + Provide expert advice and guidance on benefit ... compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Posting NumberSRGV8399 Working TitleSENIOR LEGAL OFFICER & MANAGING ATTORNEY- HEALTHCARE Number of Vacancies1 LocationMcAllen, Texas DepartmentLegal Affairs FTE1 ... FLSAExempt Scope of Job An individual contributor and manager of a team of attorney(s) and risk-management staff handling a broad range of legal work for the… more
- Elevance Health (Houston, TX)
- **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... unless an accommodation is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery,… more
- Walgreens (Willis, TX)
- …reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... development by monitoring own performance, solicits constructive feedback, and leverages Healthcare Supervisor and Store Manager as mentors and coaches.… more
- Molina Healthcare (San Antonio, TX)
- …The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, and recommend business practices to ensure ... Analyst develops and performs audits and oversight functions involving business-critical operations and vendor outsourcing arrangements for the company. The Sr.… more
- Walgreens (Longview, TX)
- …in events that reflect the unique communities we serve as requested by Healthcare Supervisor or District Manager . + Supervises operation of pharmacy, including ... medications, awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager of Research Billing Compliance position is responsible for managing the development and execution of the Houston Methodist Research ... environment appropriate to those needs is well established and maintained. The manager position responsibilities include managing the daily work activities of the… more