- Centene Corporation (Mcallen, TX)
- …McAllen, TX through Harlingen, TX area** **NOTE: This a HYBRID position - work from home 2 days a week and travel 3 days per week in the community to conduct member ... with all policies and standards. **Education/Experience:** Requires a Bachelor's degree and 2 - 4 years of related experience or equivalent experience acquired… more
- Centene Corporation (Austin, TX)
- …or Social Work or Graduate from an Accredited School of Nursing and 2 - 4 years of related experience. **License/Certification:** + Licensed Behavioral Health ... coordination, discharge planning with adult populations (ages:18 - 65) * 2 + years of experience coordinating and managing healthcare/behavioral health services and… more
- CVS Health (Austin, TX)
- …of data interpretation and analysis experience, preferable in the health insurance or Medicaid program . + Ability to distill complex data into meaningful ... other related documents for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand business processes… more
- Molina Healthcare (TX)
- …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee...At least 3 years' experience in health care, including 2 years' experience in a managed care environment facilitating… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... oversight on daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on investigations conducted by his/her… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments...associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care… more
- HCA Healthcare (Jourdanton, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... following: A. Doctor of Pharmacy (PharmD) B. Bachelor of Science in Pharmacy 2 . Experience: Minimum of one (1) year pharmacy hospital experience preferred. 3.… more
- HCA Healthcare (San Antonio, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... as requested. + Attend educational activities as approved by Manager or Director. + Maintain clinical knowledge of various...data entry system. What qualifications you will need: + 2 + years of experience in Health Information Management; Coding,… more
- Humana (Austin, TX)
- …the dynamic team, ensuring backlog priorities trace to initiative goals and program -level outcomes. You will enable an Agile delivery team by defining features, ... backlog prioritization and refinement then drives action. Partners with Product Manager to ensure backlog items advance capability objectives and deliver measurable… more
- Baylor Scott & White Health (Round Rock, TX)
- …and BSWH policies and ensures the implementation of a clinical compliance program for assigned area of the organization. Develops and implements strategies, ... the Joint Commission and the Centers for Medicare and Medicaid (CMS). Responds and reacts to changes and developments...larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors… more