- Compass Corporate (Frisco, TX)
- …sanitation, food cost controls, and presentation Previous P&L accountability or contract - managed service experience is desirable Strong supervisory, leadership, ... Director of Dining Services is an exciting opportunity for an upbeat, entrepreneurial manager who is constantly seeking a better way to conduct business. This key… more
- Elevance Health (Houston, TX)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II** Location: **Virtual** - ... pm (EST) to 8:30 pm (EST)** The **Behavioral Health Care Manager II** is responsible for managing...**Licensure is a requirement for this position.** + Prior managed care experience required. For candidates working… more
- Centene Corporation (Corpus Christi, TX)
- …Case Manager /Social Worker roles is a PLUS . Experience working in a managed care environment is a plus (Federal and State Sponsored Govt Programs), but ... adults (18- 65)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Molina Healthcare (San Antonio, TX)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts,… more
- Centene Corporation (Mcallen, TX)
- …Role requires strong adaptability, flexibility, and resiliency skills. + Experience working in managed care environment is a plus (Federal and State Sponsored ... 3 days per week for IN-PERSON visits with Foster Care members** **Monday - Friday 8:00 am- 5:00 pm...Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC, or RN with… more
- Prime Therapeutics (Austin, TX)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
- Elevance Health (Grand Prairie, TX)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... ** Manager Senior Engineering** **Location:** This role requires associates...responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make… more
- The Cigna Group (Houston, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as an integral...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Molina Healthcare (Houston, TX)
- …administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. * Oversees and leads the… more
- Houston Methodist (Sugar Land, TX)
- …experience in inpatient case management, social work or utilization management or in the managed care /payer environment, of which one year must have been in a ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...caregivers to provide the highest quality, most clinically appropriate care to patients and while promoting the most cost-effective… more
