- Baylor Scott & White Health (Dallas, TX)
- …This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- Elevance Health (Grand Prairie, TX)
- …in the United States** . Licensure is a requirement for this position. + Prior managed care experience required. For candidates working in person or virtually in ... depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Mgr II** Location:...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Health Care Service Corporation (Richardson, TX)
- …for electronic documentation of case reviews PREFERRED REQUIREMENTS: + 3 years Managed Care experience + Physical medicine and rehab, Anesthesiologist, plastic ... our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Richardson, TX)
- …plus 1 year of data analytics/analysis experience OR 3 years' experience in managed care products, programs, or services. + Leadership experience. + Knowledge ... our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Richardson, TX)
- …+ Associate Degree in Business or Medical OR 3 or more years' experience in a managed care environment. + 2 years in a leadership role that includes direct ... our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Health Care Service Corporation (Richardson, TX)
- …coding schemes, system applications, COB procedures, pricing and provider files, and managed care principles and develop and maintain rapport with internal ... our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an...decisions for themselves and their families. As an industry leader , HCSC also has been helping to make the… more
- Molina Healthcare (Austin, TX)
- …Nurse (APRN), etc.). + Experience leading a line of business or product line in managed health care . To all current Molina employees: If you are interested in ... Contributes to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Supports executive strategy development, vision… more
- CVS Health (TX)
- …of the time as required to meet business needs. **Required Qualifications** 3+ years of managed care Pharmacist experience and/or 1 year of Managed Care ... in good standing. - Demonstrated experience in a client-facing role within the managed care environment - Demonstrated understanding of and experience with… more
- Houston Methodist (Houston, TX)
- …staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and federal ... and application of positive language principles + Knowledge of Medicare, Medicaid, and Managed Care requirements + Knowledge of community resources, health … more
- Molina Healthcare (San Antonio, TX)
- …integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan… more
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