- HCA Healthcare (Houston, TX)
- …+ Continues to expand knowledge of latest technology + Maintains ultrasound logging records including past medical history, past surgical history, past obstetric ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CVS Health (Austin, TX)
- …the member. + Anticipates customer needs by answering unasked questions. + Performs review of member claim history to ensure accurate tracking of benefit maximums ... Excel, Outlook, and Word. **Preferred Qualifications** + Previous Behavioral Health, Medical , or Insurance background. + Experience working from home in a… more
- CVS Health (Austin, TX)
- …and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement ... provider network strategic plan to achieve contracting targets and manage medical costs through effective provider contracting. * Optimize interaction with assigned… more
- CVS Health (Austin, TX)
- …profitability, client needs, and to reduce the total cost of care. + Review supporting documentation to ensure accuracy and completeness while adhering to company ... effectively coordinate multiple projects simultaneously **Preferred Qualifications** + Foundational medical underwriting skills + Self-funded Insurance or Third Party… more
- CVS Health (Tyler, TX)
- …of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red ... care by solving or escalating patient problems + Offering to counsel, fielding medical questions, and soliciting information on a patient's medical history to… more
- Houston Methodist (The Woodlands, TX)
- …service, department forms, department intranet website and/or policy and procedures. Records meeting discussions by attending meetings and recording key discussions ... assesses issues and opportunities for improvement and implements changes following managerial review . Follows up on action items to ensure completion of assignments.… more
- Humana (Austin, TX)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns.… more
- HCA Healthcare (Houston, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …ID:** 41903BR **Travel Required:** Up to 25% **Major/Essential Functions:** + May review labs, medications, and health issues while completing a full examination. ... labs with follow-up while keeping a consistent plan of care. + Elicits records and interprets a complete health history including all Gastroenterology, past … more
- CVS Health (Austin, TX)
- …alignment with internal guidelines and financial standards. + Draft and review contract language, collaborating with cross-functional teams for non-standard terms. + ... adequacy and support expansion goals. + Maintain accountability for specific medical cost initiatives. Required Qualifications: + 3+ years of provider contracting… more