Managed Care Jobs in Houston
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Search Results - Managed Care Jobs in Houston
Nutex HealthHoustonappcast.io
and Negotiation:Oversee negotiation, execution, and management of all payor contracts—including commercial, Medicare Advantage, Medicaid Managed Care, and employer direct contracts.Drive innovation in contract structure, including bundled payments, shared savings...
Common Spirit HealthHouston
Minimum 3 years of clinical case management (Utilization Management, Denial Management, Care Coordination)
• 5 years of progressively responsible management experience
• Extensive operational experience in managed care; extensive experience in program...
MePAHoustonappcast.io
quality improvements across programs.
The role requires board-certified Psychiatry, Texas license or eligibility, and experience with managed care and policy development.
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CignaHouston
Manage database of prospects and assigned producers.
Qualifications
• 5+ years sales experience strongly preferred
• Prior Insurance experience in Underwriting, Operations or Proven sales track record
• 1-2+ years' experience in managed care sales...
E2E Alignment Healthcare USA, LLCHoustonappcast.io
partnering with providers and delegated groups to optimize utilization and cost of care.
The role requires MD/DO with Texas license, ABMS/AOA board certification, and 5–10 years in UM leadership within managed care; travel and remote/hybrid work in
#J-18808...
CenterWell Senior Primary CareHouston
experience with exposure to transitions of care, quality improvement, managed care, or population health management.
• Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub, Compass Rose, SalesForce HealthCloud...
E2E Alignment Healthcare USA, LLCHoustonappcast.io
practice experience. Minimum three years of leadership experience within managed care, Medicare Advantage, physician organizations, IPA/MSO, or value-based care environments. Preferred: Experience supporting delegated provider groups, IPAs, ACOs, or risk...
Houstonicims.com
requirements, including managed care and government programs.
Administrative Support
• Prepare daily clinic schedules and complete chart prep for upcoming appointments.
• Support office operations, including faxing, scanning and indexing documents...
Molina HealthcareHouston
needed for determining the types of services our members are eligible to receive. Preference will be given to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO).
Mileage is reimbursed...
University HealthHoustontiptopjob.com
experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years experience project coordination in a managed care environment is preferred. Proficiency in Word, Excel, and Powerpoint, is required.
RandstadHoustonrandstadusa.com
within a healthcare facility, managed care organization, or health plan.
• NCQA Standards: Proven background working within NCQA-accredited environments required.
• Technical Skills: Hands-on proficiency with Medallion or similar credentialing software...
Houston Behavioral Healthcare HospitalHoustonworkable.com
is responsible for all business office functions, including admitting activities for the patients, financial counseling and collection, data analysis, and eligibility determination.
• Has knowledge of governmental and managed care payer requirements. Implements...
University HealthHoustontiptopjob.com
and training.
EDUCATION/EXPERIENCE
High school diploma or equivalency is required. Minimum of five years experience in insurance, medical, or managed care environment, including two years at the processor level required. Minimum of five years supervisory...
Houstonicims.com
experience with Managed Care Insurances, requesting Referrals, Prior Authorizations’ for Insurances and verifying Insurance benefits preferred
• In-depth knowledge on insurance plan requirements for Medicaid and commercial plans preferred....
University HealthHoustontiptopjob.com
to two (1:2) years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years experience project coordination in a managed care environment is preferred. Proficiency in Word, Excel...
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