- Molina Healthcare (Austin, TX)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** Join our team as an IT Managed Services Operations Manager , where you'll serve as the Managed Services ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Grand Prairie, TX)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be… more
- Guidehouse (San Antonio, TX)
- …adherence to company/client standards and communicate issues of non-compliance to Operations Manager + Monitor specialist performance to ensure they meet or exceed ... improvement for specialists, including development of and updates to program resources and providing individual coaching, feedback, and monthly performance… more
- Health Care Service Corporation (Richardson, TX)
- …and activities including educational and quality campaigns, assistance in scheduling care manager and member appointments, responding to member inquiries, ... communication systems including Fax, Email and Telephone + 1 year experience with managed care system(s) or healthcare systems (ie; hospital ,doctor office,… more
- Health Care Service Corporation (Richardson, TX)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care … more
- Houston Methodist (The Woodlands, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal ... of positive language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources,… more
- Molina Healthcare (TX)
- …are discharged from your service. The ideal candidate will have experience as a Case Manager within a managed care organization (MCO) like Molina, but we ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management, managed care , and/or… more
- Molina Healthcare (Fort Worth, TX)
- …and productivity is important. Preferred candidates will have previous case management, managed care , or inpatient hospital experience. TRAVEL in the field ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management, managed care , and/or… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- Summary Primary Purpose of the Position: The Psychology Program Manager serves as Designated Learning Officer (DLO). The DLO is a senior facility education ... Chapter 3, section A, paragraph 3j. Grade Determinations: Psychology Program Manager , GS-14 Experience. At least three...exercising wide latitude and independent judgment. The type of program managed and scope of responsibility are… more