- Prime Therapeutics (Austin, TX)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... member of the legal department's leadership team. **Responsibilities** + Lead and mentor a team of attorneys and support...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… 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
- Prime Therapeutics (Austin, TX)
- …area of study + 15 years of relevant work experience in PBM, pharmacy, health plan and/or managed care with a minimum of 8 years in Medicare and/or Medicaid in a ... interest, concern or opportunity + Act as a thought leader in national meetings where the company`s Medicare product...strategy to drive growth in government programs (Medicare and/or Managed Medicaid) + Proven track record of leadership with… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Prime Therapeutics (Austin, TX)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... in cooperation with Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs + Other...clinical and/or managed care setting Must be eligible to… 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
- Molina Healthcare (Dallas, 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
- Methodist Health System (Dallas, TX)
- …response claims, denied claims, and billing correspondence. Knowledgeable with payors; Managed Care , Commercial, Medicare, and Medicaid Strong leadership skills ... of America) **Job Description :** **Your Job:** The Team Lead (AR III) specializing in Professional Billing to join...years college with credit hours in Business Administration, Health Care Administration, or related field Or High school diploma… more
- Houston Methodist (Houston, TX)
- …with third party recovery vendors to ensure their understanding and interpretation of the managed care contract terms and intent. Reviews and approves any monies ... are appropriately addressed and analyzed. Supervisor should take the lead role in providing education to key stakeholders. +...preferred **WORK EXPERIENCE** + Three years of experience in managed care and/or contract modeling + Three… more
- Molina Healthcare (Austin, TX)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,...cleaning of data. + 3+ Years of experience in Managed Care Organization executing similar techno functional… more
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