- Molina Healthcare (Fort Worth, TX)
- …or other related needs. * Participates in the Statewide Advocacy Program for Managed Care including working with the State External Advocate, Enrollment ... to identify trends or problem areas of access and care delivery. Assists enrollees in the grievance process at...providers as needed. * Works in collaboration with the Care Management department to help resolve member issues/concerns, ensure… more
- HCA Healthcare (Houston, TX)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Ansible Government Solutions (Texas City, TX)
- …and follow-up for simple to moderately-complex workload that can be appropriately managed in a primary care outpatient environment + Comprehensive primary ... Ansible Government Solutions, LLC (Ansible) is currently recruiting for a Primary Care Physician to provide onsite services to eligible beneficiaries of the Texas… more
- Banner Health (TX)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Banner Health the best place to work and receive care . We are looking for a motivated, experienced **Profee...for contributing to our award-winning patient care . POSITION SUMMARY Evaluates medical records, provides clinical and… more
- Humana (Austin, TX)
- …focusing on age-related cognitive function + Minimum one, (1) year of managed care /health plan experience **Preferred Qualifications** + Experience with ... policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or… more
- Owens & Minor (Austin, TX)
- …services, and necessary documentation. + Arrange & conduct in-services. + Analyze impact of managed care in the territory and its effect on prescribing decisions ... we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission… more
- Houston Methodist (Houston, TX)
- …health record software (EPIC preferred) + Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies + Ability to manage multiple tasks ... employee, and physician satisfaction. Proactively presents solutions to resolve access to care issues when possible. Serves as a liaison between the patients,… more
- Owens & Minor (Fort Worth, TX)
- …services, and necessary documentation. + Arrange & conduct in-services. + Analyze impact of managed care in the territory and its effect on prescribing decisions ... we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission… more
- HCA Healthcare (Dallas, TX)
- …Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ledger. Your goal ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- Evolent (Austin, TX)
- …skills + Outstanding written and oral presentation skills + Preferred experience with managed care and/or provider engagement **To comply with HIPAA security ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more