- Option Care Health (Austin, TX)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... agreements for home and alternate site infusion services provided by Option Care . . Responsible for managed care plans with greater than 250K lives that… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of managed ... for this position include credentialing and enrollment in governmental and commercial managed care plans and medicare and medicaid. The Managed Care… more
- Molina Healthcare (Fort Worth, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Molina Healthcare (Missouri City, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5… more
- Houston Methodist (Houston, TX)
- …staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and federal ... health care financial and payer issues, Medicare, Medicaid and Managed Care requirements and eligibility for state, local and federal programs +… more
- Houston Methodist (Cypress, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal ... of positive language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources,… more
- Centene Corporation (Mcallen, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... Adult Day Care + Home Health or Hospice + Case Management + Managed Care Pay Range: $35.49 - $63.79 per hour Centene offers a comprehensive benefits package… more
- Molina Healthcare (Dallas, TX)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (San Antonio, TX)
- …Health or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing or utilization management experience. + 3+ ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...years supervisory experience in a managed healthcare environment. + Previous experience… more
- Molina Healthcare (TX)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience… more