- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Managed Care Credentialing Specialist is responsible for leading and executing complex credentialing and payer ... of new team members, and provides subject matter expertise in managed care credentialing . The Senior Specialist also plays a pivotal role in special… more
- HCA Healthcare (Cypress, TX)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- HCA Healthcare (El Paso, TX)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- UTMB Health (Gatesville, TX)
- …United States** Physician UTMB Health Requisition # 2500313 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... within the region. Works under the director of the senior medical director. **_ESSENTIAL JOB FUNCTIONS_** **:** + Contributes...FUNCTIONS_** **:** + Contributes to the success of Correctional Managed Care . + Oversees medical providers within… more
- Methodist Health System (Dallas, TX)
- …rights, quality of care issues, informed consent, managed care contracting and negotiations, provider credentialing , and billing and reimbursement ... MHS is a large, dynamic, and growing organization, with seven acute care hospitals, a medical group, jointly owned surgical hospitals and ambulatory surgical… more
- Organon & Co. (Houston, TX)
- …with medical and scientific experts, including Healthcare Professionals and Managed Markets Customers; helps to identify pre-clinical, clinical and post-marketing ... experienced presenter of key messages to broad audiences including Senior Stakeholders. **Preferred Experience and Skills** + Dermatology or Allergy/Immunology… more