- Molina Healthcare (Houston, TX)
- …SKILLS & ABILITIES:** + 3+ seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA **REQU** ... members help mentor other team members and take the lead on process and project improvement. These team members...+ Under the direction of the national and/or regional lead , the Medical Records Collector supports the annual HEDIS… more
- Centene Corporation (Austin, TX)
- …preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay ... for improvement and strategies to realize those opportunities. Develop, plan, lead , monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits… more
- Centene Corporation (Austin, TX)
- …MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred. Dental Vendor Management or Dental ... support Medicaid -Medicare, and maintaining a competitive, innovative portfolio. + Lead large scale, cross functional initiatives for development, implementation or… more
- Actalent (Dallas, TX)
- …+ Education: High School Diploma or equivalent + Experience: Minimum 2 years in managed care (call center, appeals, or claims) + Experience in health claims ... to close on Oct 17, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies… more
- Actalent (Texas City, TX)
- …specialty pharmacy. Work Environment This role is part of a large Managed Care Organization primarily handling government-sponsored health insurance programs ... to close on Oct 17, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies… 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 ... field-based medical science liaison. + Experience developing and executing Key Opinion Leader territory plans, medical plans, and other field medical strategies. +… more
- Molina Healthcare (Austin, TX)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 10 years' experience in Managed Care , specifically government programs and/or Medicare/Duals Health Plan ... Operations or equivalent combination of education and experience. + Strong leadership in a matrixed environment + Demonstrated adaptability and flexibility to a rapidly moving business environment. + Background analyzing technical performance and driving teams… more
- 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 ... boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer… more
- Elevance Health (Grand Prairie, TX)
- …and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Elevance Health (Grand Prairie, TX)
- …of 5 years of direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience, which ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more