- Molina Healthcare (Fort Worth, TX)
- …provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management , Network, and other departments to enable critical decision ... related to medical cost reduction initiatives and budgeting same + Support Medical Management by assisting with Return on Investment (ROI) analyses for… more
- Molina Healthcare (Fort Worth, TX)
- …provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management , Network, and other departments to enable critical decision ... Analysis projects related to medical cost reduction initiatives + Support Medical Management by assisting with Return on Investment (ROI) analyses for… more
- Humana (Austin, TX)
- …Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management review organization such ... a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D… more
- CVS Health (Austin, TX)
- …Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the ... continuum of care. Supports the Medical Management staff ensuring timely and consistent...providers and facilities to support the effective execution of medical services programs by the clinical teams.… more
- Elevance Health (Houston, TX)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... **Clinical Operations Associate Medical Director** **Interventional Pain** **Carelon Medical Benefits Management ** **Virtual:** This role enables associates… more
- CVS Health (Austin, TX)
- …implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of ... care. You will support the Medical Management staff ensuring timely and consistent...providers and facilities to support the effective execution of medical services programs by the clinical teams.… more
- CVS Health (Austin, TX)
- …provide oversight for medical policy implementation. You will support the Medical Management staff ensuring timely and consistent responses to members and ... will focus primarily on review appeal cases for denied medical services . This includes First Level Appeals...coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will… more
- Methodist Health System (Colleyville, TX)
- … terminology and coding preferred. Previous two years in a front office using medical management software preferred. 4. Previous typing or data entry at 40 ... clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only...12 hospitals (through ownership and affiliation) with nationally recognized medical services , such as a Level I… more
- Texas Health Resources (Bedford, TX)
- …encouraged + Ability to perform EKGs + Proficient computer skills using medical management application systems + Effectively communicate with staff and ... **Certified Medical Assistant/CMA - Cardiovascular Services - Full-Time, Days** **_Bring your passion to Texas Health so we are Better + Together_** Sign-On for… more
- Houston Methodist (Sugar Land, TX)
- …- Certified Provider Credentialing Specialist (NAMSS) **OR** + CPMSM - Certified Professional Medical Services Management (NAMSS) **OR** + CPHQ - Certified ... At Houston Methodist, the Manager Medical Staff Services position is responsible for the management and administration of the Medical Staff Services … more
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