Contracts Specialist

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...

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...

Job Summary We are searching for an Authorization Specialist - someone who works well in a fast-paced setting. In this position, you'll be responsible for supporting the pre-admission and admission process, ensuring financial authorization for service is obtained and to providing the authorizing entity with clinical information, including diagnosis and...

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...

Job Summary We are searching for an Assistant Director of Network Development -- someone who oversees the development and maintenance of the contracted network of hospitals, physicians and other healthcare providers who provide care to Texas Children's Health Plan. This position assists in the development of policies and procedures for provider contracting...

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...

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...

Job Summary We are searching for an Employee Development Coordinator -- someone who works well in a fast-paced setting. In this position, you will identify and coordinate all training needs of the department ensuring that those needs are met and appropriately documented. Think you've got what it takes? Responsibilities Job Duties & Responsibilities *...

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...

Job Summary We are searching for a Director of Provider Relations - someone who works well in a fast-paced setting. In this position, you will be responsible for maintaining a best-in-class provider network management organization that spans multiple service delivery areas and products. This includes all functions and systems supporting provider relations,...

Utilization Management Clinical Registered Nurse (RN) - The Health PlanJob 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...

Utilization Management Clinical Registered Nurse (RN)Job 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 performs telephonic...

Location: Bellaire High School  Department: Bellaire HS  Area:West  Contract Months:10  Salary Range: $32,000.00 – Academic Year: 24-25  POSITION SUMMARY Provides students with appropriate learning activities and experiences designed to fulfill their potential for intellectual, emotional, physical and social growth. ILLUSTRATIVE...

Job Summary We are searching for a Utilization Management Clinical LVN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and outpatient procedures and services requiring authorization. This process includes clinical judgment, utilization management application, verification...

Utilization Management Clinical Registered Nurse (RN) 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 process includes clinical judgement,...

Utilization Management Clinical Registered Nurse (RN) - The Health Plan 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 process includes...

Utilization Management Clinical Registered Nurse - The Health Plan - Remote Job 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...

Utilization Management Clinical Registered Nurse - The Health Plan - Remote Job 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...

Utilization Management Clinical Registered Nurse (RN) Job 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 performs telephonic...

Utilization Management Clinical Registered Nurse (RN) - The Health Plan Job 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...