- Eisai, Inc (Dallas, TX)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... cognitive impairment due to Alzheimer's disease (AD) or mild AD. The Neurology Account Specialist (NAS) will be part of a diverse team of sales professionals who… more
- Lundbeck (Dallas, TX)
- …or relevant roles Experience in claims reimbursement, including billing and coding; managed care coverage processes and practices; distribution of specialty ... Texas (subject to change) SUMMARY: The Lundbeck Field Access Specialist is a field-based role focused on supporting providers...including outside referral (treatment provided at alternate sites of care ) and via infusion in-office (buy and bill or… more
- EY (Houston, TX)
- …help to build a better working world. Integrated Risk Management (IRM) Managed Services Center Senior Analyst (Senior) The risk landscape is continuously changing ... only protect the enterprise but create value. The opportunity Clients retain IRM Managed Services to assist them with transforming their risk functions and providing… more
- Houston Methodist (Sugar Land, TX)
- …determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review...Federal, State, and local billing regulations and partners with managed care contracting as needed. Maintains knowledge… more
- Owens & Minor (Austin, TX)
- …requirements, services, and necessary documentation. Arrange & conduct in-services. Analyze impact of managed care in the territory and its effect on prescribing ... technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what...individuals to join their team. The Diabetes Outside Sales Specialist is responsible for selling a full range of… more
- Houston Methodist (Houston, TX)
- …and application of positive language principles Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies Ability to manage multiple tasks in ... At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing...scheduled appointment so there is no disruption to patient care /access and/or insurance payments are not denied. Organizes time… more
- Molina Healthcare (Austin, TX)
- …related field or an equivalent combination of education and experience PREFERRED EXPERIENCE : Managed Care experience To all current Molina employees: If you are ... by management. Formats and distributes Provider network resources (eg electronic specialist directory). Job Qualifications REQUIRED EDUCATION : High School Diploma… more
- Cardinal Health (Austin, TX)
- …Oversee the ongoing training needs of the customer, the ISF, and the Managed Care Support Team including conducting regular webinar trainings. Analyze Central ... customer loyalty, sales growth and improved profitability. Job Summary The Sr Specialist , Product and Solutions Marketing plans and coordinates the logistics of… more
- Molina Healthcare (Austin, TX)
- …and/or requests from outside agencies. Required Qualifications At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... software program(s) proficiency. Preferred Qualifications Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or… more
- Molina Healthcare (San Antonio, TX)
- …2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or ... with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. PREFERRED EDUCATION: Associate's or Bachelor's… more
