- CenterWell (Austin, TX)
- …Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement ... lines of business. + Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support...of Pharmacy + 3+ years of clinical experience in managed care or other pharmacy related field + Experience… more
- MarketSource (Dallas, TX)
- …MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the unique ... skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and Manufacturing industries in… more
- Compass Group, North America (Prairie View, TX)
- …processes and continuing expectations. + Ensures proper documentation is maintained for projects managed directly and for all projects managed by team members. ... all KPI-required documents are loaded into e-Builder at the appropriate status for projects managed by the Team Lead and team members. + Ensures Federal, State, and… more
- Humana (Austin, TX)
- …The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement ... line of business. + Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support...of Pharmacy + 3+ years of clinical experience in managed care or other pharmacy related field + Experience… more
- Molina Healthcare (Dallas, TX)
- …issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations ... as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or...and claims payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International… more
- Deloitte (Dallas, TX)
- …and cloud-based. + Integration of acquired environments into unified managed services models + Developing hybrid and multi-cloud operating models ... strategies, including hybrid cloud operating models, data center rationalization, and managed services + Hands-on knowledge of cloud platforms (eg, Azure, AWS,… more
- Molina Healthcare (Austin, TX)
- …issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or...and claims payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International… more
- Houston Methodist (Katy, TX)
- …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. Ensures ... projects after ongoing revenue cycle analysis. Meets with payors and/or Managed Care to discuss aged accounts, adjudications timeframes, and erroneous denials.… more
- Boardwalk Pipeline Partners (Houston, TX)
- …construction specifications and contract policies and procedures and ensure projects are managed as needed to ensure compliance is maintained during the construction ... familiar with OSHA and company safety expectations and ensure projects are managed as needed to ensure compliance is maintained during construction phase. +… more
- NTT America, Inc. (Plano, TX)
- …is seeking has 10+ years of IT Sales experience in the ** Managed Services/Professional Services** space and strong relationships in the **Healthcare** **Payer** ... maker level. **Additional Qualifications and Responsibilities** * Sells complex managed services, full IT Outsourcing solutions, application services, and industry… more