- Elevance Health (Grand Prairie, TX)
- …and quality assurance activities; ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member ... is licensed staff supervision. **EDUCATION/EXPERIENCE REQUIREMENTS:** + Prior experience in Managed Care setting required. **Additional requirements for BH UM:**… more
- Toyota (Plano, TX)
- …to Microsoft suite to manage the project effectively. + **Vendor selection and Contract Management :** Oversee the vendor selection and contract activities ... Ensure the outcome of the quarterly planning sessions are managed according to the strategy and plan. + **Project...made according to the timeline. + **Risk & Issue Management :** Identify, document, and manage the project's risks and… more
- Houston Methodist (Houston, TX)
- …operational design, implementation, administration, governance, compliance, day-to-day plan management and ongoing evaluation of the organization's benefits ... and retirement plans for the system. This position works with executive management to ensure that the total rewards strategy regarding benefits and programs… more
- CyrusOne (San Antonio, TX)
- …Maintenance Management Systems. + Experienced with subcontractor and vendor contract management . + Experienced with managing key performance indicators as ... Owner's building operations rules for the building(s) under his care and as provided by the DC Manager. +...Uses and teaches others to use the Computerized Maintenance Management system (CMMS) to track all maintenance work, labor… more
- Highmark Health (Austin, TX)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based... management + 2 years Understanding of provider contract documents and overall contract management… more
- Valor Health (Granbury, TX)
- …with front desk for check-in, check-out and phone coverage. o Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. As a Licensed… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator, Managed Care Coordinator, etc.), other health services professionals, and mental ... facility level (including, but not limited to, Access to Care , Productivity, Suicide Risk management , etc.) and...contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout… more
- Molina Healthcare (Fort Worth, TX)
- …as oversight, audit, etc. **Required Experience** * 7 years of managed care experience (Regulatory and Compliance) * Previous management experience of 5 ... in Healthcare Administration **Preferred Experience** + 10 years of managed care experience (Regulatory and Compliance) + Previous management experience of 5… more
- US Tech Solutions (TX)
- …skills and detail orientation important for this position. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE 6 months ... **Education:** + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of… more
- UTMB Health (Galveston, TX)
- …third-party pay or regulatory requirements. + Thorough knowledge of Hospital reimbursement and managed care contract issues. + Knowledge of automated systems ... Receivable develops, coordinates, and directs all Hospital Accounts Receivable management activities related to the revenue cycle including Billing, Collections,… more
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