- Baylor Scott & White Health (Plano, TX)
- …areas. + Prepares the 5-year financial operating forecast to include statistics, payer mix, payments capital, etc. + Prepares analysis and presents and defends ... findings, for any potential capital acquisitions, projects, new services, etc. + Provides ongoing budget vs. actual revenue and expense variance analysis through review of both standard reports and reports which have been developed specifically for the entity.… more
- Walgreens (Frisco, TX)
- …not limited to Medication Therapy + Management programs, Immunization Services, and Payer and Pharma Adherence & Clinical Programs. Drives the execution of multiple ... business plans and projects to ensure business needs are being met. + Drives compliance and continuous quality improvement in the delivery of clinical pharmacy patient care and services by studying, evaluating, and re-designing processes; monitoring and… more
- Select Medical (Houston, TX)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + 1 Year of Medical Office Experience **Minimum Qualifications:** + Insurance Verification Experience + 1 Year of Scheduling Experience **Additional Data** _Equal Opportunity Employer/including… more
- Norstella (Austin, TX)
- …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
- Houston Methodist (The Woodlands, TX)
- …+ Comprehensive knowledge of community resources, health care financial and payer requirements/issues, and eligibility for state, local and federal programs + ... Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute venues of care and post-acute community resources. + Ability to work… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC- Payer , Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified ... Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year coding experience required preferably with psychiatric services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and… more
- Select Medical (Frisco, TX)
- …Interventions/Discharge and Care Planning Management + Fiscal Management + Payer /Referral Management **Other duties include:** + Responsible for attending ... education/in-servicing on current trends in case management, policies and procedures of the Institute, and changes in governmental, regulatory, and accrediting agencies to ensure compliance with standards of practice. + Carries a patient caseload. + Assures… more
- Lilly (Huntsville, TX)
- …grow and own business outcomes. * Navigates the ever-changing healthcare environment and payer landscape to increase understanding of accounts and be able to impact ... key stakeholders to become trusted partners. * Utilizes appropriate business insight tools, data, and analytics to identify trends, priorities, opportunities, and potential obstacles. * Implements and adopts new technologies, including the integration of AI… more
- HCA Healthcare (Dallas, TX)
- …the established chain of command + Makes appropriate referrals to third party payer , disease and case management programs for recurring patients and patients with ... chronic disease states + Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to… more
- Sumitomo Pharma (South Houston, TX)
- …and marketing materials. + Proficient knowledge and understanding of the payer landscape including commercial, Medicaid, and Medicare or relevant experience. + ... Demonstrates the ability to analyze complex data to develop strategic and actionable business plans to deliver sales results. + Candidates must have excellent communication & organizational skills and be proficient with technology platforms and business… more