Healthcare Provider Network Manager Jobs in Texas

... that happen. Responsibilities The Case Manager/Care Coach will work in clinic ... care. Job Functions: The Case Manager/Care Coach will work the following: ... vendors to ensure the member's..

Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. Responsibilities ... a whole. Responsibilities The Case Manager/Care Coach will work in..

Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..

... work.(sm) The ED RN Case Manager monitors real-time Admit, Discharge, Transfer ... to provide proactive patient and provider outreach and discharge coordination to ... retrospective clinical reviews at in..

Description The Associate Director, Provider Contracting initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements. The Associate ... and agreements. The Associate Director, Provider Contracting..

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... or segment. Responsibilities The Director, Provider Contracting- Behavioral..

Posted: 26-Feb-22 Location: Buda, Texas Salary: Open Categories: General Nursing Internal Number: 22004070 JOB SUMMARY The Manager, Nursing Registered Nurse (RN) 1 is responsible for creating and sustaining a healthy work ..

... delivery of appropriate benefits and/or healthcare information which determines eligibility for ... and programs are comprised of network management, clinical coverage, and policies. ... Position Summary/Mission Community Care Case..

... passion to help others? Transforming healthcare and millions of lives as ... responsibility of the Outpatient Case Manager is to identify, screen, track, ... the team. The OP Case..

*JOB SUMMARY* The Manager, Nursing Registered Nurse (RN) 1 is responsible for creating and sustaining a healthy work environment for assigned nursing and unit-based personnel which fosters excellent professional nursing practice, ..

Job Information Humana Manager of Fraud and Abuse Data ... Antonio Texas Description Responsibilities The Manager of Fraud and Abuse Data ... related efforts with Claims Oversight, Provider Network Operations,..

Job Information Humana Director, Provider Contracting - Behavioral Health Medicaid ... Antonio Texas Description The Director, Provider Contracting - Behavioral Health Medicaid ... executes physician, hospital, and/or other provider behavioral..

Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... is able guide members to in-network providers, answer..

Description Working with provider data provider data, provider directories, and/or contract management How ... perks for well-being Responsibilities The Network Operations Coordinator 4 (NOC) is ... important part of the..

Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... is able guide members to in-network providers, answer..

Posted: 26-Feb-22 Location: TEMPLE, Texas Salary: Open Categories: General Nursing Internal Number: 22004481 JOB SUMMARY The Manager, Nursing Registered Nurse (RN) 1 is responsible for creating and sustaining a healthy work ..

Veteran Program Manager https://www.aacog.com/Jobs.aspx?UniqueId=76&CommunityJobs=False&JobID=Veteran-Program-Manager-448 Tue, 09 Nov 2021 09:05:23 -0600 Veteran Program Manager (AACOG) Performs advanced planning, research, consultative, technical and program administration services; Work involves operational support to the Director ..

Description Summary: Responsible for creating and facilitation training strategies/programs to support an operational team responsible for abstraction and pursuit of HEDIS® measures to ensure they reach operational milestones, gap closures, rates, ..

... Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in ... The Director, Behavioral Health (BH) Network and Market Strategy will insure ... with business development teams and..

... experience by increasing focus on healthcare services.OperationsResponsible for assisting pharmacist in ... of a pharmacist assists with healthcare service offerings including administering vaccines, ... the direction of the Pharmacy..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... Medicaid segment. Responsibilities The Director, Provider Contracting- Behavioral..

Job Information Humana RN Case Manager - Transitional Care - Work ... Responsibilities The Role The Case Manager/Care Coach will work in clinic ... vendors to ensure the member's healthcare..

JOB SUMMARY The Manager Nursing Registered Nurse Ambulatory 1 (RN) is accountable for creating and sustaining a healthy work environment for assigned nursing and unit-based personnel which fosters excellent professional nursing ..