- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the ... Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a technical expert for management and… more
- Cardinal Health (Austin, TX)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... negotiation with strategy. **Essential Functions:** + In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Charles Schwab (Westlake, TX)
- **Your opportunity** ** Director , Strategy & Execution - Managed Accounts for Individual (Retail) Investors** We believe that, when done right, investing ... Director , who will report to the Managing Director of Managed Account Solutions, will define...basis. We offer a competitive benefits package that takes care of the whole you - both today and… more
- EPAM Systems (Austin, TX)
- As the ** Director , Next-Generation Managed Services** AI-Powered Managed Services at EPAM Systems, you will revolutionize our service delivery model by ... while leading multiple strategic client accounts. You'll architect next-generation managed services that integrate DevOps, SRE principles, and intelligent automation… more
- Humana (Austin, TX)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... 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
- 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 ... 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
- CVS Health (Austin, TX)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... Utilization Management / Review experience -Electronic medical systems/record experience - Managed Care experience -Medicaid experience **Education:** -M.D. or… more
- Humana (Austin, TX)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...responsibilities as determined necessary to support optimal value based care in accordance with Medicare and Humana policy. The… more
- Grifols Shared Services North America, Inc (Fort Worth, TX)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct… more