- Molina Healthcare (El Paso, TX)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- Houston Methodist (Houston, TX)
- …credentialing and enrollment in governmental and commercial managed care plans and medicare and medicaid. The Managed Care Credentialing Specialist position has ... Professional Medical Services Management (NAMSS) **OR** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **KNOWLEDGE, SKILLS, AND ABILITIES**… more
- Apex Health Solutions (Houston, TX)
- Position Summary: The Pharmacy services Specialist will assist the Clinical Services staff (pharmacists and technicians) in all aspects of pharmacy operations and ... services including Medicare part D oversight, coverage determination and re-determination (appeal)...to all applicable parties (internal and external). The pharmacy specialist will also work with the compliance department to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Molina Healthcare (Austin, TX)
- …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a ... sanctions/exclusions. * Reviews and processes monthly daily alerts for Medicare Opt-Out reports to determine if any provider has...to determine if any provider has opted out of Medicare . * Reviews and processes assigned daily NPDB Continuous… more
- Houston Methodist (Houston, TX)
- …strongly encouraged to apply.** At Houston Methodist, the System Accreditation Specialist is responsible for providing system-wide consultative services to Houston ... REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPHQ - Certified Professional in Healthcare Quality (NAHQ) -- Related quality, accreditation or health… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Transplant Recovery Specialist position is responsible for supporting the organ procurement services required for transplantation and ... Organ Sharing (OPTN/UNOS) regulations and allocation policies. The Transplant Recovery Specialist position communicates with all members of the Organ Procurement… more
- Texas Health Resources (Fort Worth, TX)
- Admissions Specialist I _Bring your passion to Texas Health So We Are Better + Together_ Work Location: Texas Health Alliance, 10864 Texas Health Trail, Fort Worth, ... Professional office/healthcare experience preferred. Licenses and Certifications * CHAA - Certified Healthcare Access Associate Upon Hire preferred. * CPI - Crisis… more
- Texas Health Resources (Bedford, TX)
- **Admissions Specialist I** _Bring your passion to Texas Health so we are Better + Together_ **Work Location:** Texas Health HEB, 1600 Hospital Pkwy, Bedford, TX ... Professional office/healthcare experience preferred. **Licenses and Certifications** CHAA - Certified Healthcare Access Associate Upon Hire preferred. CPI - Crisis… more
- Texas Health Resources (Arlington, TX)
- Admissions Specialist I _Bring your passion to Texas Health so we are Better + Together_ **Work Location:** Texas Health Arlington Memorial, 800 West Randol Mill ... Professional office/healthcare experience preferred. **Licenses and Certifications** . CHAA - Certified Healthcare Access Associate Upon Hire preferred. . CPI -… more