- The Hartford (San Antonio, TX)
- …Resolution and Settlement Strategies, Efficient, Timely and Accurate Investigations and Medical Management are responsibilities of this position. The position ... Possess superior analytical and critical thinking skills, expert knowledge of complex medical terms, excellent time management abilities + Properly apply… more
- Baylor Scott & White Health (Temple, TX)
- …of a strategic plan for pharmacy operations. This includes an integrated pharmacy and medical management model. It will reshape the care delivery system and ... for BSWH Health Plan pharmacy. Plans and directs pharmacy services programs and activities. This may include service...to managing and evaluating the BSWH pharmacy function and services . Advises BSWH leadership, medical staff, departments,… more
- Centene Corporation (Austin, TX)
- …changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national ... trends; develop and implement action plans to maintain high levels of quality service . + Collaborate with account management and specialty pharmacy operations… more
- Sedgwick (Dallas, TX)
- …and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Professional Liability **ESSENTIAL FUNCTIONS and… more
- Valor Health (San Antonio, TX)
- …contractor for the US Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet ... the specific needs of local VA medical centers. Our comprehensive set of services ...within 24 hours of a patient encounter. + Solicits medical management consult or input when appropriate.… more
- Surgery Care Affiliates (Fort Worth, TX)
- …support person. + Providing education regarding the expected psychosocial response, nutritional management , medical management , pain management , wound ... surgical hospitals. Our work spans a broad spectrum of services , all designed to support physicians, health systems and...seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement… more
- Integrative Emergency Services (Waxahachie, TX)
- …perform the job. Required: + High school diploma or GED + Minimum 2 years' medical office management or related experience Preferred: + Bachelor's degree + 6 ... Integrative Emergency Services , LLC ("IES") is seeking a Practice Administrator...Practice Administrator . This role provides operational support to Medical Directors and Emergency Room Physicians and APPs associated… more
- Molina Healthcare (Fort Worth, TX)
- …cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** Oversees an integrated Care Management team responsible ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary...or more years in case management , disease management , managed care or medical or behavioral… more
- ThermoFisher Scientific (Austin, TX)
- …Within Medical Communications, we improve patient health by supplying medical information services to our customers, patients and healthcare providers. ... manage multiple complex tasks . Ability to effectively manage potential emergency medical situations ** Management Role:** No management responsibility… more
- The Cigna Group (Houston, TX)
- …limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service . + Contributes to ... to live in the Houston, TX area** The **Manager, Provider Contracting Network Management ** serves as an integral member of the Provider Contracting Team and reports… more