Managed Care Jobs in San Antonio
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Search Results - Managed Care Jobs in San Antonio
University Health-San Antonio
care, prior authorization, concurrent review, appeals, or case management experience required.
Working knowledge of:
• NCQA Utilization Management Standards
• URAC Utilization Management Standards
• CMS Managed Care requirements...
University Health-San Antonio
degree in business, health care or related field with at least two years' experience in the managed care industry is required. Minimum of five years' experience in the managed care industry and two years' Member Advocacy work may be substituted...
MePA-San Antonio
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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University Health-San Antonio
Management staff regarding plans to achieve the designated objectives of network development and managed care contracts.
EDUCATION/EXPERIENCE
Associates degree in computer science, health care or related field is preferred. Minimum of one year health care...
E2E Alignment Healthcare USA, LLC-San Antonio
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
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University Health-San Antonio
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...
University Health-San Antonio
for establishing and maintaining good working relationships with co-workers, Health System employees, patients and guests.
EDUCATION/EXPERIENCE
A minimum of three years of clinical nursing experience is preferred. At least two years of experience in a managed care...
Robert Half-San Antonio
initiatives involving healthcare claims, clinical data, and related enterprise applications within a managed care environment.
• Use appropriate delivery methodologies, including Agile, Scrum, waterfall, or hybrid approaches, based on project needs and team...
University Health-San Antonio
an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience.
Working...
Sagility-San Antonio
managed care, or similar healthcare environments.
Nursing and physician degrees do not meet the educational profile requirements for this Care Coach position.
What You Bring
Successful Care Coaches demonstrate:
• Strong verbal and written communication...
University Health-San Antonio
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....
Remote Regional Medical Director, Non-Acute UM (Must reside in Texas preferably San Antonio or El...
E2E Alignment Healthcare USA, LLC-San Antonio
Experience:
• Minimum five-ten years of Utilization Management clinical practice experience.
• Minimum three years of leadership experience within managed care, Medicare Advantage, physician organizations, IPA/MSO, or value-based care environments...
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University Health-San Antonio
related field. Six (6) or more years' experience in project coordination for a managed care environment is preferred. Proficiency in Word, Excel, and PowerPoint, is required. Project Management certification preferred. Proficiency in MS Project preferred....
Sevita-San Antonio
and managed care contractors; coordinates, encourages, and bolsters engagement for their teams to participate in advocacy efforts (e.g., advocacy days, town halls, etc.); participates in provider association meetings; and lobbies on behalf of individuals...
HealthTexas-San Antonio
Demonstrated expertise in treating and managing Medicare Advantage populations with multiple comorbidities
• Must have specific managed care experience
• Virtual medical treatment
• Management of high-risk population in complex care program
• Full‑time position...
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