- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Guidehouse (San Antonio, TX)
- …Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition ... Reimbursement, Personal Development & Learning Opportunities + Skills Development & Certifications + Employee Referral Program + Corporate Sponsored Events & Community Outreach + Emergency Back-Up Childcare Program **About Guidehouse** Guidehouse is an Equal… more
- Baylor Scott & White Health (Dallas, TX)
- …the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors ... **JOB SUMMARY** Director , Comprehensive Care Management (CCM) is a System Director responsible for planning, developing, and implementing the comprehensive … more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Austin, TX)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- CenterWell (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
- Cardinal Health (Austin, TX)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic...seasoned expertise in the managed care industry, this leader translates the… more
- Baylor Scott & White Health (Dallas, TX)
- …denials. This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- UTMB Health (Huntsville, TX)
- …States** Allied Health UTMB Health Requisition # 2506054 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... UTMB Health System including but not limited to UTMB Hospital, UTMB Correctional Managed Care Operations and Clinics in assigned areas **_ESSENTIAL JOB… more