- PharmaCord (Austin, TX)
- When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as ... prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.… more
- Encompass Health (Lincoln, TX)
- …direct sales and marketing, preferably in healthcare environment. . Physician relations, Case manager , Managed care , knowledge of local healthcare market ... and fostering a culture centered on patient safety and care excellence. Youll guide, train, and develop a dynamic...Encompass Health Way We proudly set the standard in care by leading with empathy, doing what's right, focusing… more
- Cardinal Health (Austin, TX)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (Austin, TX)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (Austin, TX)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Indeed (Austin, TX)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Molina Healthcare (Austin, TX)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (Austin, TX)
- …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
- Health Care Service Corporation (Austin, TX)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care … more
- Molina Healthcare (Bear Creek, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License,… more
- Molina Healthcare (Austin, TX)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Humana (Austin, TX)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Molina Healthcare (Austin, TX)
- …(LPN) Program **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED ... in OB HIGH RISK / maternal health case management, disease management, managed care or medical or behavioral health settings. To all current Molina employees:… more
- Centene Corporation (Austin, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. Job Description **RN Care Manager - work from home and do member visits 3 days ... guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities… more
- CDM Smith (Austin, TX)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CAI (Austin, TX)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- The Cigna Group (Austin, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as an integral...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Molina Healthcare (Austin, TX)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Natural Grocers (Austin, TX)
- Salary Range USD $82,000.00/Yr. - Overview The Job in a Nutshell: The Store Manager is responsible for the successful operation and profitability of the store which ... county food safety certifications and registration. + The Store Manager is responsible for ensuring that the store is...rotated and stocked per company standards. + Mark-downs are managed per company standards. + Viewing the store as… more
- CVS Health (Austin, TX)
- …+ Field Experience + Bilingual + Crisis intervention skills preferred + Managed care /utilization review experience preferred + Case management and discharge ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
