Performance Adherence Specialist

4 weeks ago


Bellaire, United States Harris Health System Full time

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women Childrens Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.#J-18808-Ljbffr

by Jobble



  • Bellaire, United States Glocalcure Full time

    Are you driven by meeting sales targets and earning based on your performance? If so, joining our team as a **full-time Medical Sales Specialist** at GlocalCure could be an incredibly rewarding opportunity for you. **GREAT PAY** With **unlimited commission**, you get the opportunity to directly influence your earnings based on your sales success....


  • Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Business Process Specialist - someone who works well in a fast-paced setting. In this position, you will support and develop programs aligned with Health Plan strategic goals through effective and timely assessment and equitable distribution of resources and assignments, education and implementation of processes and...

  • Insurance Specialist

    12 hours ago


    Bellaire, United States DERM SURGERY ASSOCIATES PA Full time

    Job DescriptionJob DescriptionDescription:We have an opening to join our team as an Insurance Verification Specialist. Successful candidates will be intelligent, people centric and able to multitask with a smile! If you enjoy helping people and thrive in a fast paced environment, this may be the job for you! Candidates must have practical experience with...


  • Bellaire, United States St. Hope Foundation Full time

    We are seeking a **MEDICAL PATIENT CARE SPECIALIST** to become a part of our team! You will be responsible for administrative duties for primary care services. **Responsibilities** Responsibilities activities of an Medical Patient Care Specialist will include, but is not limited to the following: - Perform all front-end administrative duties to best meet...


  • Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Senior Compliance Specialist -- someone who works well in a fast-paced setting. In this position, you will independently and cooperatively plan and manage audits, reviews, investigations, and projects to ensure compliance with the hospital's policies/procedures and state and federal rules, regulations, and statutes. This...


  • Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Senior Compliance Specialist -- someone who works well in a fast-paced setting. In this position, you will independently and cooperatively plan and manage audits, reviews, investigations, and projects to ensure compliance with the hospital's policies/procedures and state and federal rules, regulations, and statutes. This...


  • Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are looking for a Contract Specialist -- someone who works well in a fast-paced setting. In this position, you will be responsible for supporting network management by completing research projects, processing and implementing provider agreements and provider changes, and answering provider calls. This position is also responsible for managing...

  • Contracts Specialist

    3 weeks ago


    Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are looking for a Contract Specialist -- someone who works well in a fast-paced setting. In this position, you will be responsible for supporting network management by completing research projects, processing and implementing provider agreements and provider changes, and answering provider calls. This position is also responsible for managing...

  • Contracts Specialist

    3 weeks ago


    Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are looking for a Contract Specialist -- someone who works well in a fast-paced setting. In this position, you will be responsible for supporting network management by completing research projects, processing and implementing provider agreements and provider changes, and answering provider calls. This position is also responsible for managing...


  • Bellaire, United States St. Hope Foundation Full time

    Job DescriptionJob DescriptionSalary: We are seeking a MEDICAL PATIENT CARE SPECIALIST to become a part of our team! You will be responsible for administrative duties for primary care services.ResponsibilitiesResponsibilities activities of an Medical Patient Care Specialist will include, but is not limited to the following:Perform all front-end...


  • Bellaire, United States Memorial Hermann Health System Full time

    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...


  • Bellaire, United States Memorial Hermann Health System Full time

    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...

  • Pharmacy Buyer

    3 days ago


    Bellaire, United States Memorial Hermann Health System Full time

    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...


  • Bellaire, United States Memorial Hermann Health System Full time

    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...

  • Sr. Call Center Rep

    4 weeks ago


    Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You...


  • Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Radiology Specialist - someone who works well in a fast-paced setting. In this position, you'll perform exceptional and specialized radiographic procedures at the request of the licensed independent practitioner for interretation by radiologists. You will integrate scientific knowledge, technical skills, patient...

  • Insurance Specialist

    4 weeks ago


    Bellaire, United States DERM SURGERY ASSOCIATES PA Full time

    Description: This is a day shift, Monday-Thursday 8-5, Friday 8-4. **If you have the talent, this is a great opportunity to join a wonderful team and a great working environment. We offer exceptional benefits including Health Insurance, ancillary options, generous PTO Plan and 401k after 1 year.**: Requirements: Reliable Transportation Ability to perform...


  • Bellaire, United States Texas Children's Hospital Full time

    Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

  • Configuration Analyst

    3 weeks ago


    Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Configuration Analyst -- someone who works well in a fast-paced setting. In this position, you will be responsible for the activities related to system updates, new health plan implementations, and conversions within Business Operations. Designs configurations solutions to meet new business requirements and perform updates...

  • Configuration Analyst

    3 weeks ago


    Bellaire, United States Texas Children's Hospital Full time

    Job Summary We are searching for a Configuration Analyst -- someone who works well in a fast-paced setting. In this position, you will be responsible for the activities related to system updates, new health plan implementations, and conversions within Business Operations. Designs configurations solutions to meet new business requirements and perform updates...