- Evolent (Austin, TX)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... 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
- Prime Therapeutics (Austin, TX)
- …to work independently and as part of a team **Preferred Qualifications** + Managed care experience + Proficiency with Microsoft Office Every employee must ... client's pre-approved criteria + Accountable for direct consultation with health care providers concerning non-formulary and clinical product coverage issues +… more
- CVS Health (Austin, TX)
- …and FIDE plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Evolent (Austin, TX)
- …role or other relevant experience gained through roles with a health plan, managed care organization or third-party administrator is required. + 2 years ... 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
- America's Best (Dallas, TX)
- …phone calls in accordance with National Vision protocol. + Processes and understands managed care plans while obtaining document information from the insurance ... parts of the optical equation - eyewear and eye care - into one excellent experience at a single...their best. We help people by making quality eye care and eyewear more affordable and accessible. As the… more
- UTMB Health (Huntsville, TX)
- …**New** Allied Health UTMB Health Requisition # 2504823 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... each call appropriately. + Assists with patient activities and care as assigned by the nurse manager/designee as indicated...nurse manager/designee as indicated by the patient's plan of care . Maintains patient care areas with appropriate… more
- Cardinal Health (Austin, TX)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Texas Health Resources (Arlington, TX)
- …of financial statements, including the adequacy of Bad Debt reserves, Managed Care discounts, accrued liabilities and Medicare/Medicaid liabilities. Prepares ... COO and will work closely with senior leaders for Urgent Care , Virtual Care Delivery, Texas Health Behavioral Health Video Visits, Executive and Concierge… more
- Humana (Austin, TX)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM Team is hiring for… more
- Amgen (San Antonio, TX)
- …performance priorities) + District Management Experience preferred + Reimbursement / managed care experience highly desirable + Experience in public ... executes innovative strategies to reach difficult to access health care providers and accounts in a compliant manner +...us** As we work to develop treatments that take care of others, we also work to care… more