- Option Care Health (Austin, TX)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... agreements for home and alternate site infusion services provided by Option Care . . Responsible for managed care plans with greater than 250K lives that… more
- Cardinal Health (Austin, TX)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
- Comcast (Dallas, TX)
- …offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for ... play a pivotal role in shaping the future of Comcast Business advanced managed security solutions by partnering with cross-functional teams in a pre-sales role and… more
- Molina Healthcare (Dallas, TX)
- …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Houston Methodist (Houston, TX)
- …staff in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state, and federal ... At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse...care financial and payer issues, Medicare, Medicaid and Managed Care requirements and eligibility for state,… more
- Houston Methodist (Cypress, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal ... At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse...language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- Molina Healthcare (Fort Worth, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License,… more
- Molina Healthcare (Missouri City, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** +… more
- Centene Corporation (Mcallen, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Hidalgo County near McAllen,...+ Home Health or Hospice + Case Management + Managed Care Pay Range: $35.49 - $63.79… more
- Molina Healthcare (Dallas, TX)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
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