- MTC (Livingston, TX)
- …basic cost containment and utilization management for patient care and facility operations . 15. Maintain security and confidentiality of all patient medical records; ... all potential catastrophic illnesses. 17. Comply with all applicable pharmacy regulations, especially those covering controlled substances. 18. Assist corporate… more
- Highmark Health (Austin, TX)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... time management skills + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and… more
- MTC (Raymondville, TX)
- …basic cost containment and utilization management for patient care and facility operations . 10. Comply with all applicable pharmacy regulations, especially those ... regarding controlled substances. 11. Provide health counseling and health education on an individual or group basis, as required. 12. Assist corporate counsel with responses to detainee lawsuits. 13. Attend regularly scheduled staff meetings, QI, UM, P&T, and… more
- BrightSpring Health Services (Arlington, TX)
- Our Company ResCare Community Living Overview Operations Management focuses on efficiently meeting the needs of our clients across various lines of business. If your ... for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training… more
- CVS Health (Ennis, TX)
- …the kind of service that keeps our customers coming back to CVS Pharmacy . You'll work with other dedicated individuals in a fast-paced warehouse environment that ... a tote or box Cross train in other warehouse responsibilities + Report to the Operations Manager + Benefits + 401 (k) match + Insurance packages available + Stock… more
- Centene Corporation (Austin, TX)
- …effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + ... be required to work weekends and holidays in support of business operations , as needed. **Education/Experience:** Medical Doctor or Doctor of Osteopathy. Utilization… more
- Robert Half Finance & Accounting (Dallas, TX)
- Description The Billing Supervisor is responsible for ensuring all hospice billing operations are performed in compliance with state and federal regulations. This ... to billing staff, ensuring smooth workflow. + Generate and process month-end pharmacy census reports, including submitting data to relevant pharmacies and updating… more
- Molina Healthcare (Fort Worth, TX)
- …with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using ... similar project/task management tools (eg, Jira, Trello, Asana) + Pharmacy reporting **Preferred License, Certification, Association** Certified Business Analysis… more
- BrightSpring Health Services (San Angelo, TX)
- …Federal and BrightSpring Health requirements. The QAM provides leadership oversight to operations in meeting their goals and ensure safety and satisfaction for ... for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training… more
- Cardinal Health (Austin, TX)
- …of us a little better. + Oversee the maturity of research operations , including evolving research processes, recruitment, and toolkits to ensure efficient practices ... 3+ years in healthcare for relevant segments a plus - eg consumer, pharmacy , medical, health plans, logistics, etc. **Anticipated salary range:** $103,500 - $155,295… more