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-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...
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Molina Healthcare-Houston
population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package. Hours are Monday – Friday, 8 AM – 5 PM CST.
Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One...
Integrated Resources, Inc-Houston
Knowledge of current managed care business practices and adjudication systems used by the Health Plan.
A working knowledge of the healthcare industry, preferably health insurance/managed care.
Collaboration, written and verbal communication, detailed...
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Senior PsychCare-Houston
Medicaid and Managed Care Organizations.
• Obtaining pre-authorizations from Managed Care Organizations.
• Answer incoming and make outgoing calls to secure referrals and authorizations from providers and insurance companies.
• Ensure that referrals...
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...
AbbVie-Houston
of product and disease state information, as well as pertinent Market dynamics, including Managed Care landscape.
Coach, mentor, educate and develop direct and indirect team members to enhance individual skills and elevate overall team performance. Hold...
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Concentra, Inc.-Houston
/CREDENTIALS:
• Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
• Current...
appcast.io -
Apex Health Solutions-Houston
service role or experiences.
• Prior experience working in a health plan or a managed care environment.
• Working knowledge of MTM or PBM systems preferred.
• Strong verbal and written skills with excellent phone etiquette.
• Have analytical skills...
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...
Angels of Care Pediatric Home Health-Houston
of Home Care and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managed care organizations and other industry leaders to ensure the appropriate services...
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...
AbbVie-Houston
Market dynamics, including Managed Care landscape.
Coach, mentor, educate and develop direct and indirect team members to enhance individual skills and elevate overall team performance. Hold direct reports accountable to behaviors.
Provide direction...
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Texas Children's Hospital-Houston
and techniques central to the nursing profession in the case management process and general managed care
• Ability to comprehensively assess member/family medical needs, formulate a plan to help the member/family to meet these needs and provide ongoing evaluation...
Lynx Therapeutics-Houston
in order to execute territory plans to achieve business results through compliant means.
Uses functional and technical knowledge of pharmacology products, healthcare, pharmaceutical market places, managed care, and customer markets to meet or exceed...
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Dean's Professional Services-Houston
needs
• Performs other duties as assigned
• Complies with all policies and standards
Job Requirements:
• High School Diploma - Required
• 2+ years of customer service, experience in a managed care office, utilization review or claims processing...
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