- CVS Health (Austin, TX)
- …activities on performance **Required Qualifications** * At least 5 years experience in managed care , hospital, or similar healthcare environment * Must have ... internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree or equivalent… more
- Prime Healthcare (Mission, TX)
- …of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments. + ... Discharge Planner , sometimes referred to as a Hospital Discharge Planner, Patient Care Coordinator or a Patient Services Coordinator in our Social Work Services… more
- Prime Therapeutics (Austin, TX)
- …(PharmD) or Bachelor of Science Pharmacy Degree + 1 years of pharmacy, managed care and/or pharmaceutical industry experience + Current pharmacist license in ... as a team. + Data review and interpretation skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM) + Oncology experience +… more
- Houston Methodist (Houston, TX)
- …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... MS Office and EMR software + Functional knowledge of revenue cycle and managed care **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + Uniform No + Scrubs No +… more
- Boehringer Ingelheim (Corpus Christi, TX)
- …of six (6) years of successful healthcare, business, or pharmaceutical experience. + Managed care / contracting experience preferred + Executive level and/or P&T ... Health System Account setting + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred + Ability to demonstrate excellent… more
- Humana (Austin, TX)
- …policy administration or related field;work experience may meet this need + 5 + years managed care experience + 5 + years in Medicaid program implementation or ... and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to… more
- Kelsey-Seybold Clinic (Humble, TX)
- …experience OR Completion of an accredited pharmacy technician program HMO and 3rd Party Managed Care Experience Pharmacy Technician II: HMO and 3rd Party ... Managed Care Experience **License(s)** Required: TSBP Registration Preferred: PTCB Certification **Communicate** Required: To read merchandise labels and… more
- Molina Healthcare (TX)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Grifols Shared Services North America, Inc (Fort Worth, TX)
- …centers, centers of excellence, patient advocacy groups, and key accounts, including managed care , by providing complex medical and scientific information to ... formal presentations upon request to appropriate groups such as: key accounts, managed care organizations, integrated systems, national medical associations and… more
- Molina Healthcare (Austin, TX)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more