- Zimmer Biomet (Fort Worth, TX)
- …effect action that will exploit the markets and actualize sales potential in the managed care arena. * Coordinates the development and application of appropriate ... measures for monitoring performance against contracted sales and profit objectives in assigned accounts and controlling contract actions to accommodate contingencies revealed by controls. * Coordinates outside contacts with internal Zimmer Biomet personnel. *… more
- Molina Healthcare (TX)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes and identify trends or… more
- ConvaTec (Houston, TX)
- …within assigned territory with overnight stays when applicable. + Has solid understanding of managed care at both a local and national level. + Budget management ... experience with running a territory. **Physical Demands** + Regularly required to sit, stand, walk, and bend and move about facilities and doctors' offices. + Light physical effort required. + Occasional lifting up to 30 lbs. + Reasonable accommodations may be… more
- Centene Corporation (Austin, TX)
- …preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay ... Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with… more
- UTMB Health (Gatesville, TX)
- …States** Therapy Services UTMB Health Requisition # 2503639 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Directs the evaluation, development, coordination, and implementation of physical therapy intervention provided to… more
- Sedgwick (Dallas, TX)
- …provider requests and operational expense check requests. + Queues claims for Managed Care ; transfers payment allocations; and runs manual pre-pay and ... balances as requested. + Creates and maintains internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and whether they meet established policies. +… more
- UTMB Health (Huntsville, TX)
- …States** Allied Health UTMB Health Requisition # 2403281 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Provides language assistance by means of American Sign Language or other manual sign system for all medical… more
- UTMB Health (Galveston, TX)
- …Program Director. Job Duties: + Contributes to the success of the UTMB Managed Care organization. + Interviews, evaluates and diagnoses patients identified as ... having mental health needs. + Provides individual and group psychotherapy and crisis intervention. + Develops, implements and reviews Individual Treatment Plans. + Assists with training and education of mental health, medical and other staff. + Assists in the… more
- UTMB Health (League City, TX)
- …Program Director. **Job Duties:** + Contributes to the success of the UTMB Managed Care organization. + Interviews, evaluates and diagnoses patients identified ... as having mental health needs. + Provides individual and group psychotherapy and crisis intervention. + Develops, implements and reviews Individual Treatment Plans. + Assists with training and education of mental health, medical and other staff. + Assists in… more
- Comcast (Dallas, TX)
- …offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for ... role in shaping the future of Comcast Business advanced managed security solutions by partnering with cross-functional teams in...need when it matters most, and should help you care for those who matter most. That's why we… more