- Molina Healthcare (San Antonio, TX)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL… more
- UTMB Health (Dayton, TX)
- …States** Social Service UTMB Health Requisition # 2504889 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... FUNCTIONS_** **:** + Contributes to the success of the UTMB Correctional Managed Care organization. + Assesses and documents a patient's mental health needs. +… more
- UTMB Health (Huntsville, TX)
- …Crafts, Trades & Labor UTMB Health Requisition # 2504558 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... Provides for the routine operation and minor maintenance of Correctional Managed Care vehicles in the transportation of materials or passengers. **_ESSENTIAL JOB… more
- UTMB Health (Huntsville, TX)
- …States** Allied Health UTMB Health Requisition # 2504762 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... JOB FUNCTIONS_** **:** + Contributes to the success of UTMB Correctional Managed Care . + Responsible for selecting and ordering equipment and ensuring equipment… more
- Molina Healthcare (Austin, TX)
- …environment. Additional required experience for Corporate Operations: * Analytical experience within managed care operations. * Knowledge of managed ... care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's Degree **Preferred Experience** * Six years proven… more
- Sun Pharmaceuticals, Inc (Dallas, TX)
- …and regional thought leaders/healthcare professionals (HCPs) as well as payers and managed care accounts, providing the consistent delivery of educational and ... to these HCPs and also, internal SUN sales and managed markets constituents. Duties and Responsibilities: + Interact with...with others + Comply with all applicable SUN Health Care Compliance SOPs and US regulations Qualifications: + Doctorate… more
- US Tech Solutions (TX)
- …skills and detail orientation important for this position. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE 6 months ... + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of residence in… more
- Sedgwick (Dallas, TX)
- …of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth ... knowledge of claims management, managed care and/or absence management processes and procedures + Excellent oral and written communication, including… more
- UTMB Health (Cleveland, TX)
- …States** Social Service UTMB Health Requisition # 2504058 The mission of Correctional Managed Care is to address the healthcare needs to underserved patient ... JOB FUNCTIONS_** **:** + Contributes to the success of the Correctional Managed Care organization. + Serves as a clinical authority on matters involving… more
- Molina Healthcare (San Antonio, TX)
- …deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences. + Collaborates with IT and business leaders ... **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in managed care , including strategy, enterprise transformation, digital innovation, technology… more