- Molina Healthcare (Tyler, TX)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... for Texas licensed LVN to join Molina as a Care Manager working with our Medicaid members in the...the types of services and resources we need to provide as part of your responsibilities. Preference will be… more
- Abbott (Dallas, TX)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. ... working mothers, female executives, and scientists. **The Opportunity** **Abbott Point of Care ** (APOC) is a global leader in providing critical medical diagnostic… more
- Health Care Service Corporation (Richardson, TX)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... of the legislative task force or other internal legislative review team for cost /benefit and impact analysis of legislation, providing reports and updates to the… more
- UTMB Health (Galveston, TX)
- Director of Pharmacy - Acute Care Services **Galveston, Texas, United States** Executive - Allied Health UTMB Health Requisition # 2506290 **Job Summary:** Oversees, ... all assigned UTMB Health Campuses and for the promotion of rational, cost effective and appropriate drug usage. **Scope:** UTMB Hospitals and Clinics throughout… more
- Elevance Health (Grand Prairie, TX)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or...access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines… more
- Highmark Health (Austin, TX)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- CVS Health (Austin, TX)
- …from their analysis and develops recommendations to inform key decision makers + Provide input into performance monitoring and contract language to ensure ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (Fort Worth, TX)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (TX)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- CVS Health (Irving, TX)
- …analytical research, complex financial modeling, and business decision support. You will provide oversight of all activities related to Provider Partners, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more