- Molina Healthcare (TX)
- …- expert level with call centers experience with call center operations , processes, and procedures, including and understanding of service objectives and ... - expert level with call centers experience with call center operations , processes and procedures, including and understanding of service objectives and… more
- Molina Healthcare (TX)
- …as necessary to debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business, technical and operations rules. + Develops ... 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)
- …provider-related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider Services/Provider Inquiry Research & ... database, compliance with regulatory/accreditation requirements, and Network Management business operations . Report examples may include: GeoAccess Availability Reports, Provider… more
- Molina Healthcare (Austin, TX)
- …audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + ... internal partners, ie Medicare Administration, Compliance and Health Plan Operations . Coordinates and facilitates meetings providing appropriate documentation and… more
- Molina Healthcare (TX)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of ... + 5 + years of experience with oversight, auditing, government regulations/compliance, operations + Must have strong understanding of QNXT claims processes + Must… more
- Molina Healthcare (Fort Worth, TX)
- …building business cases and securing resources across IT, Compliance, Quality, and Operations to fund high-return enhancements. **Core** ** ** **Duties** 1. Case ... timelines. 2. Workflow Integration - Embed CTM insights into downstream operations -Stars, appeals & grievances, enrollment, claims-so each team addresses systemic… more
- Cardinal Health (Austin, TX)
- …Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and ... number of new team members in our Cyber Threat Operations Center (CTOC). We aim to be a world-class...world-class cybersecurity organization that enables Cardinal Health to be healthcare 's most trusted partner. We boast tremendous opportunities to… more
- ChenMed (Houston, TX)
- …and we need great people to join our team. The Associate Center Operations Director is responsible for center operations , including center performance, ... incumbent in this role will have primary responsibility for day-to-day center operations , including direct supervision of employees. The incumbent is accountable for… more
- Prime Healthcare (Harlingen, TX)
- …environment, helping to deliver exceptional patient care and ensure smooth clinical operations . Shift's Available : Days Employment Type : Full Time Hours: 8 ... Harlingen, Texas (Clinic) Here are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options + Paid vacation, sick time and… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... activities. + Resolves problems and complaints that may arise in day-to-day operations that involve clinical HCS staff. Communicates findings to the Supervisor or… more