- Molina Healthcare (San Antonio, TX)
- …and resolves access and cultural sensitivity issues identified by HMO staff, State staff, providers, advocate organizations, subcontractors and enrollees. ... of access and care delivery. Assists enrollees in the grievance process at the HMO and State levels and monitors outcomes. * Provides timely written responses to… more
- CVS Health (Austin, TX)
- …Qualifications** + 2+ years of experience in community outreach within the HMO ( _Health Maintenance Organization),_ healthcare, and/or insurance industries. + Must ... + 5+ years of experience in community outreach within the HMO (Health Maintenance Organization), healthcare, and/or insurance industries. + Bachelor's degree… more
- Centene Corporation (Austin, TX)
- …**Candidate Experience:** Required 5+ years of experience in the healthcare sector (preferably at HMO or PPO). Required 4+ years of experience in HMO provider ... relations, contracting and network development or large physician/provider organizations. Required 1+ year of management experience or 3+ years of Supervisory, or Lead/Sr. role with demonstrated leadership ability or program management experience Pay Range:… more
- Molina Healthcare (Dallas, TX)
- …Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization ... evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO /Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification… more
- Kelsey-Seybold Clinic (Humble, TX)
- …years pharmacy tech experience OR Completion of an accredited pharmacy technician program HMO and 3rd Party Managed Care Experience Pharmacy Technician II: HMO ... and 3rd Party Managed Care Experience **License(s)** Required: TSBP Registration Preferred: PTCB Certification **Communicate** Required: To read merchandise labels and invoices; to ask and answer questions over the phone; to write information on prescriptions.… more
- HCA Healthcare (San Antonio, TX)
- …party payers + You are responsible for identifying patient accounts based on PPO, HMO , or other Managed Care Organizations + You will contact patients and provide ... updates on benefit verification information and financial responsibility + You will update the patient communication module, AdvantX, with appropriate authorization and benefit information + You are responsible for creating financial arrangements, alongside… more
- UT Health San Antonio (San Antonio, TX)
- …and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - ... Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and… more
- UT Health San Antonio (San Antonio, TX)
- …and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - ... Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and… more
- UT Health San Antonio (San Antonio, TX)
- …and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - ... Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and… more
- UT Health San Antonio (San Antonio, TX)
- …and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - ... Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and… more
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