- Molina Healthcare (San Antonio, 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
- Charles Schwab (Westlake, TX)
- …vision, strategy, and multi-year roadmap and supporting ongoing management of our third-party Managed Account Managed Account program (s), eg, Managed ... responsible for managing our third-party product marketplaces (Alternative Investments, Managed Accounts, Mutual Funds, ETFs, Structured Products, Fixed Income,… 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
- Houston Methodist (Houston, 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 (Austin, TX)
- …who reside anywhere in Texas; applicants who have previous experience working as a case manager within a managed care organization (MCO) like Molina are ... software program (s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health care management.… more
- Molina Healthcare (Roma, TX)
- …Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + ... professional in Texas to join Molina as a Case Manager working with our Medicaid members in the service...3-5 years in case management, disease management, managed care or medical or behavioral health… more
- Centene Corporation (Dallas, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... a fresh perspective on workplace flexibility. **RN LTSS Case Manager - must reside in Dallas County near** **Dallas,...+ Home Health or Hospice + Case Management + Managed Care **License/Certification:** + RN - Registered… more
- CenterWell (Dallas, TX)
- …degree in nursing or business health field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor level ... and help us put health first** **The Role** The Care Integration Team Manager is responsible for...for building strong partnerships with clinical-operational market leaders on Care Integration Team foundational program and strategic… more
- Molina Healthcare (Fort Worth, TX)
- … Program **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... in OB HIGH RISK / maternal health case management, disease management, managed care or medical or behavioral health settings. To all current Molina employees:… more
- Elevance Health (Grand Prairie, TX)
- …in the United States** . Licensure is a requirement for this position. + Prior managed care experience required. For candidates working in person or virtually in ... health and substance use disorder management, a comprehensive employee assistance program , work/life support, specialty programs for autism and depression, and… more
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