- Elevance Health (Houston, TX)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... require a high level of negotiation skills** . **Fee schedules** **may be customized.** PRIMARY DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. + Works independently and requires high… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …the EMR and billing system + Receives incoming calls + Verifies and updates managed care plan and/or insurance information into patient account + Scans ... accurately all necessary paperwork, forms an patient information into correct file folder in EHR plus other duties + Cashier and prepares daily deposits + Responsible for collecting patients co-payments, payment for services rendered, and/or outstanding… more
- Molina Healthcare (Austin, TX)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Molina Healthcare (Fort Worth, TX)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care credentialing experience. * Experience working in a cross functional ... highly matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * CPCS Certification, PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested… more
- TEKsystems (Austin, TX)
- …in retail sales or insurance sales + Familiarity with Marketplace enrollment and managed care + Background in open enrollment, retention, or call center ... sales Work Environment & Schedule: + Hybrid role: Only 2 days/month in-office + Training: In-office, typically completed within the first 2 weeks + Shifts: Rotating 8-hour shifts between 6 AM - 6 PM + Weekend rotation: One team member works Saturday or Sunday… more
- Merck (Austin, TX)
- …and models teamwork with extended members of the Virology Account Team (CLs, CTLs, Managed Care , Marketing) in the development of long-term account plans and ... customer centric solutions to improve value for both customers and patients. + Demonstrates the ability to embrace and maximize current and future technological capabilities and multi-channel opportunities to engage customers. + Demonstrates high-level… more
- Grifols Shared Services North America, Inc (Fort Worth, TX)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... medical schools. Acts as an "ambassador" representing Grifols' position and interests. + Participates and contributes in cross-functional teams (eg, sales, marketing, global medical affairs) regarding field-based activities, medical insights, competitor… more
- Centene Corporation (Austin, TX)
- …or related field required. + Master's Degree preferred. + 10+ years of Managed Care or CMS related experience, including compliance, claims, payment integrity, ... or special investigation experience required. + Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required. + Or equivalent experience acquired through accomplishments of applicable… more
- Molina Healthcare (San Antonio, TX)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Molina Healthcare (Houston, TX)
- …or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in ... a matrixed environment + Strong project management skills and ability to manage multiple, competing priorities and projects simultaneously. + Excellent communication and people skills, including ability to effectively collaborator with business unit leaders,… more