Managed Care Jobs in Texas
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Search Results - Managed Care Jobs in Texas
Christus Health-Houston
Description**
_Summary:_
Responsible for the management and communication of denialsappeals received
from third party payers, managed care companies, andor government
entitiesauditors related to medical necessity andor level of care...
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 denialsappeals received
from third party payers, managed care companies, andor government
entitiesauditors related to medical necessity andor 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 -
Martin County Hospital District-Stanton (TX)
Summary of Responsibilities:
Comply with all Medicare, Medicaid, and Managed Care Payors regulatory requirements. Identify any issues and guide corrective action.
Review/establish productivity and work standards for all jobs within the Business Office...
Integrated Resources, Inc-Houston
issues and/or questions reported by client members, prospective members, healthcare providers, or other entities relating to client Managed Care Organization.
To be the first point of contact for assistance or information regarding eligibility, benefits...
resume-library.com -
SCA Health-Houston
of accounting procedures
• Strong managed-care expertise with Medicare, Medicaid, and/or third-party payers
• Good oral and written communication skills
• Basic knowledge of medical terminology
USD $20.00/Hr. USD $29.90/Hr.
PIde04eadcd35d-37156-36221354...
Christus Health-Houston
Description**
_Summary:_
Responsible for the management and communication of denialsappeals received
from third party payers, managed care companies, andor government
entitiesauditors related to medical necessity andor level of care...
America's Best-Temple (TX)
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 -
6 similar jobs: Takoma Park, San Jose, Mckinney, Minneapolis, Pittsburgh...
Driscoll Health-Corpus Christi
Bachelor's degree from four-year college or university in healthcare or other business-related field.
Master's degree (M. A.) or equivalent in a related healthcare field preferred.
At least 5 years’ experience in managed care or related field.
At least 5...
Integrated Resources, Inc-Houston
issues and/or questions reported by client members, prospective members, healthcare providers, or other entities relating to client Managed Care Organization. To be the first point of contact for assistance or information regarding eligibility, benefits...
resume-library.com -
Christus Health-Tyler
etc. Performing care coordination activities with patients including but not limited to chronic care management and transitional care management services.
As the Lead LVN- Expedites the flow of authorization requests through the Managed Care System...
Centene-Mirando City
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...
4 similar jobs: Carlton, Afton, Ladonia, Houston
Concentra, Inc.-Dallas
manner.
Qualifications
EDUCATION/CREDENTIALS:
1. 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...
appcast.io -
1 similar job: Los Angeles
Concentra, Inc.-Houston
/CREDENTIALS:
1. 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.
2. Current...
appcast.io -
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