- HCA Healthcare (Live Oak, TX)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- UTMB Health (Webster, TX)
- … Care Management UTMB Health Requisition # 2504557 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... evaluation or hospital transfers. If unsuccessful, elevates to department leadership and Senior Medical Director . Discharge Planning + Demonstrates skill in… more
- Humana (Austin, TX)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
- Prime Therapeutics (Austin, TX)
- …or compliance role, with a minimum of 5 years of experience as an attorney representing managed care companies or other health care clients + Must be ... Sr. Legal Counsel - Business Litigation - Remote **Job Description** The Senior Legal Counsel provides tactical and strategic legal advice to internal clients,… more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... escalated issues through critical thinking and problem solving skills; notifies Manager/ Director of ongoing issues and concerns. 3. Independently performs complex… more