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...
Integrated Resources, Inc-Houston
and output and notifies the RN of abnormal finding as evidenced by supervisory observation and review of medical records.
• Knowledge of general office tasks, confidentiality, filing, medical terminology, CPT coding and managed care referral
• Knowledge...
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...
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 -
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...
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 -
Halcyon Nurse Staffing-Houston
Channelview
• Required to go into the office every day from 8am-5pm CT for the 1st month for training (location is 4888 Loop Central Dr. Suite 600 Houston, TX 77081)
• Must have Managed Care Organization experience
• Bachelor’s or Master’s degree based...
Integrated Resources, Inc-Houston
or supervisor when unable to complete assigned tasks or responsibilities.
• Knowledge of nursing/medical assistant patient care tasks, the managed care industry, appointment scheduling, related medical terminology and customer service concepts.
• The ability...
resume-library.com -
Encompass Health-Houston
in a healthcare environment.
• Bachelor's degree in related area preferred.
• Successful track record in leading, managing or direct sales and marketing, preferably in Healthcare environment.
• Physician relations, Case manager, Managed care, knowledge of local...
Houston
and Medicare/Medicaid and Managed Care related issues
3. Reviews all patient documentation in response to letters of denial for reimbursement. Assess individual situations
and makes appropriate referrals to physician advisor. Implements appeal process
4. ..
icims.com -
Encompass Health-Houston
preferred.
• Successful track record in leading, managing or direct sales and marketing, preferably in Healthcare environment.
• Physician relations, Case manager, Managed care, knowledge of local healthcare market preferred.
ABOUT US
As a national...
Houston
Overview:
Reporting to the Chief Growth Officer, the Director of Sales is responsible for driving sales of new entity agreements, providing leadership and management of the 340B Sales Executive team for Avita Care Solutions.
This position is based...
avitapharmacy.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 -
Houston Methodist Hospital-Houston
EXPERIENCE
• Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in healthcare; for HM candidates, four years...
mindmatch.ai -
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