- Humana (Austin, TX)
- …2+ years of experience in Change Management. + 3+ years working in a managed care healthcare system or health plan. + Experience working in Medicaid and/or Medicare. ... **Preferred Qualifications** + 3+ years of leadership experience in a matrixed environment. + Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies. + Experience in business operations or consulting services in a health… more
- Houston Methodist (Houston, TX)
- …policies and procedures + Understands payor environment such as managed care, independent physician associations (IPAs), and third-party administrators (TPAs) ... + Extensive knowledge of billing, collections, reimbursement, contractual agreements and the appeals process + Understanding of revenue cycle fundamentals + Ability to follow-through and handle multiple tasks simultaneously + Excellent communication and… more
- Evolent (Austin, TX)
- …in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity + Ability to communicate ... clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptionally strong analytical abilities, with track record of identifying and communicating insights from quantitative and qualitative… more
- Turner & Townsend (Houston, TX)
- …+ Drive program assurance, quality control, and performance improvement across managed services. + Support growth campaigns by articulating our capabilities and ... value proposition in the marketplace + Mentor and develop teams to strengthen delivery capability and consistency. + Champion our digital tools enablers to enhance project controls and reporting. + Requires ability to shape service offerings from the ground up… more
- UTMB Health (Gatesville, TX)
- …Allied Health UTMB Health Requisition # 2505746 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Provides basic administrative and clinical assistance within the nursing department allowing for the transition from student to… more
- Lumen (Austin, TX)
- …principles, metadata, and taxonomy. **Preferred** + Experience with cloud-based AEM (Adobe Managed Services or AEM as a Cloud Service). + Understanding of front-end ... technologies (HTML, CSS, JavaScript) and backend frameworks. **Compensation** This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Individual pay is… more
- SpaceX (TX)
- …analysis to identify financial impacts of decisions and performance for category managed + Perform business process analysis and develop models to improve cost ... + Conduct research, perform benchmarking, and gather market analysis for assigned categories + Source and onboard new suppliers to serve dynamic program with rapidly evolving business needs + Act as a focal point for contractor management supporting… more
- America's Best (Sherman, TX)
- …calls in accordance with National Vision protocol. + Processes and understands managed care plans while obtaining document information from the insurance company as ... needed. + Provides customers basic and accurate information. + Schedules and confirms appointments, follow-up visits and classes. + Files all patient records daily and pulls patient files for the next day's appointments. + Checks order status and notifies… more
- CVS Health (TX)
- …Pharmacy Practice Residency OR * At least 3 months in a recent Medicare Managed Care Clinical Pharmacy Role focused on Stars or HEDIS measures *Clinical Pharmacist ... Role: * Established experience in functions beyond fundamental dispensing and order-processing activities such as optimization of medication selection, dosing, and monitoring * Experience with population health and/or disease state management * Ability to… more
- 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
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