- UTMB Health (Galveston, TX)
- …flow, and productivity. + Direct supervision of staff who oversee functions including provider enrollment & credentialing , and clinical analysis and ... and clinical reporting and analysis (ie, produce volume reports by division, provider productivity reports, surgical volume reports, etc.). + Assist in the… more
- Cardinal Health (Austin, TX)
- …and provider (s) to ensure optimal reimbursement including managed care contracting, enrollment , credentialing , and any other activity as it relates to payer ... interaction. Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of… more
- Evolent (Austin, TX)
- …Minimum of one to two years' experience in the healthcare field related to credentialing , provider enrollment , provider services, and/or configuration is ... for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that...work closely with teams such as Claims, Configuration, and Enrollment /Eligibility to ensure timely and accurate data loads and… more
- CVS Health (Irving, TX)
- …state regulatory projects related to pharmacy network development initiatives, pharmacy enrollment and credentialing , pharmacy audit, and pharmacy recoupment and ... recovery activities. You will support the CVS Caremark legal team with pharmacy network contracting and market conduct examinations, and additional requests as needed. **Primary Job Duties & Responsibilities:** Completes daily management tasks, including… more
- Valor Health (San Antonio, TX)
- …requires you to be nationally certified. Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted hearts, ... contractor for the US Department of Veterans Affairs. We provide a full range of medical services to veterans...in the clinic, as directed by physician or mid-level provider . ?You will collaborate with the core PACT Team… more
- Valor Health (Denton, TX)
- …Apply Job Type Full-time Description About Us Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted hearts, ... supervision. Collaborates with the core PACT Team (Primary Care Provider , RN and LPN/LVN) and expanded PACT Team including...clinical outcomes through the specified VA guidelines. + Must provide excellent customer service to each veteran, both in… more
- Molina Healthcare (Houston, TX)
- …requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing , prior authorizations, fee schedules, and ... standards. **Job Duties** * Reviews documentation regarding updates/changes to member enrollment , provider contract, provider demographic information, and/or… more
- Abbott (Mcallen, TX)
- …The job purpose and scope of the Clinical Sales Specialist (CSS) role is to provide TAVI clinical trial and commercial case support, trial enrollment & education ... modalities and complete the case support and proctor delegate authorizations. + Provide active clinical trial & commercial case support, demonstrating excellence in… more
- HCA Healthcare (North Richland Hills, TX)
- …join Medical City North Hills which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Medical City North Hills, offers a ... and Qualifications** As a Patient Experience Concierge, you will provide exceptional service to our patient population. You will...family and visitors. + Encourage and assist with patient enrollment in the Patient Portal + Empowerment to make… more
- HCA Healthcare (Houston, TX)
- …The Woman's Hospital of Texas, which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** The Woman's Hospital of Texas ... services. You interpret policies and procedures, recommend changes as appropriate, and provide relevant feedback to SSC leadership. You serve as a key promoter… more