- Molina Healthcare (San Antonio, TX)
- …recommendations that support short- and long-term business goals. + Partners with Network to communicate recovery projects so that provider relations can ... executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Honeywell (Houston, TX)
- …architecture of Honeywell Products including E-HPM (Enhanced Hight Performance Process Manager ), E-UCN (Enhanced Universal Control Network ), ELCN (Experion Local ... scope. + Report directly to our Sr Application Eng Manager and you'll work out of our Houston, Texas,...with the local Honeywell team on complex cases. + Provide local affiliates with periodic updates, so that they… more
- Elevance Health (Houston, TX)
- …plan network . + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. + Follows-up to obtain ... The **Nurse Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by… more
- CenterWell (Fort Worth, TX)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of professional and support ... personnel who provide outpatient care to patients in a clinical setting....outpatient care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines and procedures;… more
- Methodist Health System (Dallas, TX)
- …weeks) at the Dallas Campus. **Job Relationships:** Reports to Coding Manager **Certification Requirements:** Core coding certification credential from AAPC or ... services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services.… more
- Covenant Health (Lubbock, TX)
- …area(s) to meet the needs of the patient. Works closely with Nurse Manager to ensure continuity of care across the continuum. Minimal supervision required. ... hire: Texas Registered Nurse License + Upon hire: National Provider BLS - American Heart Association + Provider...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- Entergy (New Caney, TX)
- …Responsible for the scheduling and coordination of statewide distribution line Network activities, statewide local storeroom management of materials and inventory ... Supervises and coordinates activities of Operations Coordinator staff who monitor Network workload on a daily and weekly basis and shift line… more
- Elevance Health (Grand Prairie, TX)
- …you will be responsible for the selection and delivery of strategic network security, access control and secure transaction/messaging solutions. **How You Will Make ... and TTPs (Tactics, Techniques, and Procedures). + Collect and analyze data from network traffic, system logs, and security events to identify trends, patterns, and… more
- Intertek (Elmendorf, TX)
- TEST TECHNICIAN - FLAMABILITY TESTING - ELMENDORF, TX Intertek, a leading provider of quality and safety solutions to many of the world's top-recognized brands and ... and Certification of products: we are a Total Quality Assurance Provider to industries worldwide. Our Purpose: Bringing quality, safety, and sustainability… more
- CenterWell (Austin, TX)
- …lead strategy and execution for our referral management and specialist network solutions, including prior authorization and related EMR-integrated capabilities. This ... scalable product solutions that strengthen our specialty referral pathways and network performance. **Key Responsibilities** + Product Ownership: Own the strategy,… more
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