- Methodist Health System (Dallas, TX)
- …relationships with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + Proof ... System's insurance information on website + Assist with projects as needed **Age Specific Care Considerations:** ☐ Adults: 18+ years - 35 years ☐ Adults: 35+ years -… more
- UTMB Health (Henderson, TX)
- …United States** Physician UTMB Health Requisition # 2504548 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... of TDCJ-ID work related activities. Ensures that appropriate health care in accessible and provided to the inmate population...in a timely fashion. Renders final medical judgement regarding care provided to inmates assigned to the unit according… more
- Catholic Health Initiatives (Bryan, TX)
- …monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting. 6. Assists patients and their families ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US & from clinics and...the US & from clinics and hospitals to home-based care and virtual care services CommonSpirit is… more
- Prime Therapeutics (Austin, TX)
- …a regulatory or compliance role, with a minimum of 3 years of experience working with managed care companies or other health care clients Must be eligible to ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Molina Healthcare (San Antonio, TX)
- …preferred. **Required Experience** + 3-5 years clinical nursing experience, with 1-3 years Managed Care Experience in the specific programs supported by the plan ... of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR...& Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction… more
- CVS Health (Austin, TX)
- …executing national, regional, or market level strategies. * In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Texas A&M University - Faculty (College Station, TX)
- …infrastructures, quality of health care services, critical access hospitals, long-term care policies, Medicaid, managed care , chronic disease burden, ... maternal and child health, health disparities, data privacy, as well as mental and behavioral health, among others The School of Public Health is the only unit within Texas A&M Health holding qualifications and membership in the Hispanic-Serving Health… more
- UTMB Health (Cleveland, TX)
- … Care Management UTMB Health Requisition # 2504049 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... the Clinical Director or Staff Psychiatrist - Outpatient, provides direct psychiatric care to patients assigned to outpatient psychiatric facilities within the UTMB… more
- Highmark Health (Austin, TX)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US & from clinics and...the US & from clinics and hospitals to home-based care and virtual care services CommonSpirit is… more