- Molina Healthcare (Houston, TX)
- …standards. **Job Duties** * Reviews documentation regarding updates/changes to member enrollment , provider contract, provider demographic information, and/or ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Elevance Health (Houston, TX)
- …recommendations for change based on judgment and experience. + May perform Part A provider enrollment responsibilities as needed. + Associates in this role are ... reviews on teaching, organ acquisition hospitals and other complex provider cost reports. **How you will make an impact:**...or any combination of education and experience, which would provide an equivalent background. + This position is part… more
- HCA Healthcare (Dallas, TX)
- …to join Medical City Dallas which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Wound Care Clinic** Schedule: Hours M-F 8a-4:30p ... Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models… more
- UTMB Health (Galveston, TX)
- …flow, and productivity. + Direct supervision of staff who oversee functions including provider enrollment & credentialing, and clinical analysis and reporting. + ... and clinical reporting and analysis (ie, produce volume reports by division, provider productivity reports, surgical volume reports, etc.). + Assist in the… more
- Highmark Health (Austin, TX)
- …of Coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data + 1 year of Project leadership in ... and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as...a complex, matrixed environment (payer and/or provider preferred) + 1 year of Providing analytical consultation… more
- Molina Healthcare (San Antonio, TX)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment , Finance, Managed Care ... Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume transaction processing/call… more
- Option Care Health (Houston, TX)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Option Care Health (Houston, TX)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Kelsey-Seybold Clinic (TX)
- …and enrollment eligibility. Managed Care Representatives handle member and provider calls for self-funded, fully insured and Medicare Commercial plans. **Job ... standards. Representatives utilize various internal and external software applications to provide Concierge type services related to health plan operations including… more
- HCA Healthcare (Dallas, TX)
- …At Medical City Dallas our nurses set us apart from any other healthcare provider . We are seeking a Telemetry Registered Nurse Part Time to join our healthcare ... Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models… more