- CVS Health (Austin, TX)
- …will also be a key factor in your success. Your understanding of the PBM and managed care environment as well as keeping up to date on market trends will enable you ... to position CVS Health programs and solutions effectively to client decision makers. The contributions you will make as a Strategic Account Executive will position CVS Health for long-term growth in the competitive PBM marketplace. This position can be located… more
- Sedgwick (Austin, TX)
- …appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact. + Ensures claims files ... are properly documented and claims coding is correct. + Maintains professional client relationships. + Coordinates actuarial/settlement issues impacting employers with rate and settlement departments. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- NANA Regional Corporation (Fort Hood, TX)
- …the inbound and outbound movement of Army equipment and materiel at a contractor- managed turn-in site. This role ensures compliance with US Army supply regulations, ... Defense Transportation Regulation (DTR), and contract requirements, while supporting accurate property accountability and efficient turn-in operations. The clerk works closely with warehouse, supply, and transportation personnel to ensure timely and accurate… more
- Houston Methodist (Houston, TX)
- …Classification of Diseases ICD-10 preferred. Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies + Ability to work under pressure and ... balance many competing priorities + Adapts to multiple ongoing priorities with minimal supervision, including organizing workflow and actively participating in problem-solving **ESSENTIAL FUNCTIONS** **PEOPLE ESSENTIAL FUNCTIONS** + Answers incoming telephone… more
- Evolent (Austin, TX)
- …experience in claims-based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare consulting entity . Extensive knowledge of ... healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service . Previous Experience with healthcare reimbursement methodologies and calculations such as Fee for Service, value based care… more
- CVS Health (TX)
- …or exceeding established goals and expectations **Preferred Qualifications:** + Managed Care experience preferred. + Previous coaching experience preferred. + ... Model candidates have telephone triage nursing experience. **Education Requirements:** + Associate Degree in Nursing required. + Bachelor's Degree or Equivalent 3-5 years clinical experience preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time… more
- Houston Methodist (Houston, TX)
- …our center. **FINANCE ESSENTIAL FUNCTIONS** + Supports leadership by working with Managed Care Contracting on insurance requests for information (RFI), assist with ... our FACT accreditation and with preparations for internal and external audits. + Handles department resources and assignments effectively and efficiently as evidenced by prudent use of office supplies, timely data abstraction, data entry, and data submission.… more
- Molina Healthcare (San Antonio, TX)
- …including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. * ... Registered Nurse (RN). License must be active and unrestricted in state of practice. * Ability to prioritize and manage multiple deadlines. * Excellent organizational, problem-solving and critical-thinking skills. * Strong written and verbal communication… more
- Patterson Companies, Inc. (Roanoke, TX)
- …+ May operate scanners so that the proper order is picked, and inventory is managed accurately **Order Checking** + Verifies that the item picked matches the item on ... the invoice by comparing manufacturer name, manufacturer item number, and item description + Verifies quantity of items picked matches item quantity on the invoice + For time sensitive items, verifies the expiration date on the item is acceptable for shipment… more
- Molina Healthcare (San Antonio, TX)
- …Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional ... in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina… more
Recent Jobs
-
Patient Care Tech/Flow Coordinator (SEIU Job)
- Virginia Mason Franciscan Health (Seattle, WA)
-
Darpa SETA Physical Chemist/Materials Scientist SME
- Amentum (Arlington, VA)
-
Treasury Senior Quantitative Analyst I
- Truist (Charlotte, NC)