- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information… more
- Deloitte (Austin, TX)
- …and business leaders for complex information technology (IT) operate and managed services contracts by executing careful review of contractual documents (and ... Management as follows: + Review and analyze IT operations and managed services contracts to identify and document business-relevant contractual obligations and… more
- Molina Healthcare (Fort Worth, TX)
- …(eg, Provider Services/Provider Inquiry Research & Resolution, Provider Contracting /Provider Relationship Management). + Provides timely, accurate generation and ... equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider… more