- US Physical Therapy (Houston, TX)
- …motivated, autonomous individual who has a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role that will support the ** ... Managed Care Operations Team** . The person...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior...end results. + Works side by side with their manager . **Minimum Requirements:** Requires BA/BS degree in Mathematics, Statistics… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Austin, TX)
- …who reside anywhere in Texas; applicants who have previous experience working as a case manager within a managed care organization (MCO) like Molina are ... Office suite/applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health care … more
- Elevance Health (Grand Prairie, TX)
- …in the United States** . Licensure is a requirement for this position. + Prior managed care experience required. For candidates working in person or virtually in ... depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Mgr II** Location:...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… 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, ... Manages financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA targets achieved for the… more
- The Cigna Group (Austin, 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
- Xcel Energy (Lubbock, TX)
- …key suppliers. This position is responsible for managing the staff augmentation managed service providers used by Xcel Energy with budgetary responsibilities in the ... best practices. Collaborate with business stakeholders to align business demands, category/ contract strategy, and execution. Perform spend and cost analysis (eg… more
- CVS Health (TX)
- …executing national, regional, or market level strategies. * In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Centene Corporation (Austin, TX)
- …Plans (D-SNPs) (compliance, product, and operations)._** + **_Experience in Medicare Managed Care and D-SNP compliance programs (audits, risk, regulations)._** ... department functions, including but not limited to, regulatory and D-SNP contract review and interpretation, periodic monitoring and auditing activities based on… more
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