Managed Care Jobs in Houston
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Search Results - Managed Care Jobs in Houston
Managed Care Contract Specialist with (Hospital Contract Modeling, Third Party Payer Negotiation,...
Macpower Digital Assets Edge Private Limited (MDA Edge)-Houston
for critical decision-making specific to hospital reimbursement and associated impacts.
Supports Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals...
resume-library.com -
Christus Health-Houston
Description
Summary:
Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care...
UphillGrowth Recruitment-Houston
for critical decision-making specific to hospital reimbursement and associated impacts.
Supports Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals...
resume-library.com -
Doctor's Choice Placement Services, Inc-Houston
are offered. The practice has full EMR and payer mix is as follows: 45% managed care, 32% Medicare, 15% Medicaid, 6% Commercial Insurance and 1% self pay.
Qualifications Preferred:
1. Experience in a hospital and outpatient setting.
2. Board Certified...
appcast.io -
Integrated Resources, Inc-Houston
Managed Care Organization. To be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other Member/Provider needs. To assist and advocate for Members and/or Providers...
resume-library.com -
Centene-Houston
Doctor (JD) from an accredited law school, with a strong academic record and a state bar admission preferred
5+ years of experience in a leadership role required
10+ years of Medicare Managed Care Compliance experience required
Experience in the managed...
Integrated Resources, Inc-Houston
of work and prioritizes work to meet deadlines and user needs of the Health Plan.
Skills:
Knowledge of current managed care business practices and adjudication systems used by the Health Plan.
A working knowledge of the healthcare industry, preferably...
resume-library.com -
ChenMed-Houston
staff is essential
• Experience providing services and exercising leadership in a culturally and linguistically diverse setting is essential
• Experience working within a managed care environment strongly preferred
We’re ChenMed and we’re transforming...
America's Best-Houston
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
LINQM, INC.-Houston
and Collection Experience
• Working knowledge of EOB’s, EFT’s and ERA’s
• 2 years posting experience
• Knowledge of Managed Care Contracts, Medicare, and Medicaid
• Excellent attention to detail
• Ability to work independently with minimal supervision...
jobvertise.com -
Robert Half-Houston
and knowledge base of HEDIS/STARs.
• Perform datamining tasks.
• Licensed Practical Nurse
• Minimum 2 year HEDIS experience and/or knowledge
• Solid knowledge of managed care requirements related to clinical quality...
roberthalf.com -
Houston
experience
• Experience working within a managed care environment
Other Duties :
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee...
somatus.com -
Dane Street, LLC-Houston
and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical...
workable.com -
Houston
managed care/insurance accounts with large deductibles/co‐pays/co‐insurance, Medicare deductible and co‐pays.
2. Collect and/or negotiate point of service payments (co‐pays, deductibles, self‐pay amounts) or link to financial assistance programs.
3. ..
icims.com -
Houston
of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
• Current, unrestricted clinical license(s) (or if the license is restricted...
icims.com -
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