- Molina Healthcare (Houston, 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
- Molina Healthcare (Houston, 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
- CVS Health (Austin, TX)
- …+ 2+ years of experience in community outreach, particularly within the HMO (Health Maintenance Organization), health care, and/or insurance industries. + Must ... + 5-7 years of experience in community outreach, particularly within the HMO ( _Health Maintenance Organization_ ), health care, and/or insurance industries.… more
- Houston Methodist (Houston, TX)
- …with the ability to differentiate between insurance plans such as PPO, POS, HMO , etc. **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + Uniform No + Scrubs No + ... Business professional Yes + Other (department approved) No **ON-CALL _*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._ + On Call* No **TRAVEL _**Travel… more
- Houston Methodist (Katy, TX)
- …with the ability to differentiate between insurance plans such as PPO, POS, HMO , etc. + Strong training, coaching to performance and leadership skills **SUPPLEMENTAL ... REQUIREMENTS** **WORK ATTIRE** + Uniform No + Scrubs No + Business professional Yes + Other (department approved) No **ON-CALL _*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of… more
- Medical Center Hospital (Odessa, TX)
- …laws, billing forms, medical billing regulations, insurance benefit calculations, HMO /PPO contracts, third party funding resources.) Job Knowledge: Required: ... Requires strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications. Ability to maintain a calm… 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. Disability - Employees can enroll in the Disability Insurance which provides income if a non-work… more
- HCA Healthcare (Dallas, TX)
- …contact + You are responsible for identifying patient accounts based on PPO, HMO , or other Managed Care Organizations + You are responsible for determining patient ... out of pocket amounts based upon benefit determination + 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… 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. Disability - Employees can enroll in the Disability Insurance which provides income if a non-work… more