- Elevance Health (Grand Prairie, TX)
- …care management process through reviewing member profiles, recommending members for lock-in, case management or disease management . + Respond to and ... for various operational or clinical aspects of the CarelonRx pharmacy program , including Prior Authorizations, Medication Therapy Management (MTM), Lock-in,… more
- Molina Healthcare (Austin, TX)
- …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies and… more
- SitusAMC (Austin, TX)
- …be eligible to receive a discretionary bonus as determined by bonus program guidelines, position eligibility and SitusAMC Senior Management approval. SitusAMC ... automation to streamline repetitive tasks and improve overall efficiency. + **Resource Management ** + Manage resource allocation, ensuring that team members have the… more
- Molina Healthcare (TX)
- …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. + Identifies… more
- Houston Methodist (Houston, TX)
- …is responsible for supporting multiple projects under supervision of Clinical Trial Manager which may include clinical research protocols, gathering patient data via ... Performs clinical research support functions as assigned by the clinical trial manager including but not limited to informed consent for non-interventional studies,… more
- GovCIO (Austin, TX)
- …Defense Counterintelligence Security Agency (DCSA), Background Information Systems (BIS), Case Processing and other background investigation systems. The successful ... security, and other support entities. ServiceNow is the primary workflow management tool used within the environment. Specific responsibilities will include: +… more
- HP Inc. (Spring, TX)
- …the Quality teams with each of the main Commercial GBU functions (System Management , R&D, Planning, Marketing, etc) and to gain strategic alignment on PLC ... through 2025 to 2027, through the main pillars of Reliability, Risk Management , E2E Solutions Validation and Operational Processes. Define outcomes (short term and… more
- Bank of America (Addison, TX)
- …and excellent understanding of Banking. + Strong proven experience in workflow / Case Management solutions using Pega. + Strong proven experience in handling ... either a single team or multiple teams, at the program level + Conducts research, design prototyping and other...such as evaluating new toolsets and components for release management , CI/CD, and features + Works with stakeholders to… more
- AccentCare, Inc. (Odessa, TX)
- … Manager * Functions as liaison for Field Supervisors in communication with payer Case Management teams * Supports recruiting and onboarding needs of team * ... client visits by Field Supervisor * Assists Client Service Manager in the presentation of staff training related to... in the presentation of staff training related to program requirements for newly hired and current office employees… more
- Sedgwick (Irving, TX)
- …stable and consistent work environment in an office and/or virtual setting + A training program to learn how to help employees and customers from some of the world's ... most reputable brands + An assigned mentor and manager who will guide you on your career journey...for client paid leave plans ensuring that on-going claim management is within company service standards and industry best… more