- Houston Methodist (Katy, TX)
- …and navigating several applications and websites related to registration simultaneously + Managed care knowledge with the ability to differentiate between ... and holds others accountable to following appointment scheduling policies by ensuring I CARE values are met while working within the scripting provided. Assists with… more
- Cardinal Health (Austin, TX)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. ... Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting,… more
- Molina Healthcare (Houston, TX)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie,… more
- Molina Healthcare (Fort Worth, TX)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding, for example. + Independently delivers training and… more
- UTMB Health (Stafford, TX)
- …United States** Physician UTMB Health Requisition # 2503005 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... JOB FUNCTIONS_** **:** + Contribute to the success of the UTMB Correctional Managed Care operation. + Provides direct psychiatric care to assigned patients.… more
- US Physical Therapy (Houston, TX)
- …company as a **Contract Manager/Analyst.** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have ... experience in Managed Care , WC, Replacements & Auto lines of business. They will work directly with payors to negotiate key payor contracts for the organization… more
- Houston Methodist (Houston, TX)
- …staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and federal ... application of positive language principles + Knowledge of Medicare, Medicaid, and Managed Care requirements + Knowledge of community resources, health care … more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments… more
- Houston Methodist (The Woodlands, TX)
- …services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and ... tasks and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources, health care… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more