Care Provider Jobs in Edinburg, TX
Intermountain Health
$21.84 - $33.23
San Juan, PR
3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Humana
$78400 - $107800
San Juan, PR
The Supervisor, Provider Engagement represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Humana
$104000 - $143000
San Juan, PR
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Contract Tools, Education, Processes Lead (Provider Contract Templates Lead) exercises independent judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates.
C2 GPS- Lower Rio Grande Workforce
McAllen, TX
Infant/Toddler Environmental Rating Scale (ITERS), Early Childhood Environmental Rating Scale (ECERS-R), Family Childcare Environmental Rating Scale (FCERS), Teacher Behavior Rating Scale (TBRS), Classroom Assessment Scoring System (CLASS), or other assessment tools. Associate’s or Undergraduate degree from an accredited university or college in a relevant field of study preferred (i.e., early childhood education, child development, special education, child psychology, educational psychology, elementary education, or family consumer science).
C2 GPS- Lower Rio Grande Workforce
Weslaco, TX
Informs parents of childcare options available; provides parents with childcare information that will assist them in making an informed decision on intake and when customer requests a transfer. Our guiding principle is clear: to navigate the complex landscape of workforce development, our passionate team members provide unparalleled customer service and actively support the communities where we live and work.
CenterWell
$71100 - $97800
San Juan, PR
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
CenterWell
$71100 - $97800
San Juan, PR
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Sharecare
San Juan, PR
Provide proactive care guidance for various value-add opportunities: + Guidance on closing care gaps (e.g., No PCP, discussing switching from low quality PCPs to high quality PCPs, reminder for completion of health risk assessment, reminders for exams/tests due). + Answer inquiries from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and vision plans.
CenterWell
$94900 - $130500
San Juan, PR
Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development.
CenterWell
$86300 - $118700
San Juan, PR
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.