- Methodist Health System (Dallas, TX)
- …relationships with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + Proof ... The Provider Services Coordinator provides administrative support to the Director of Contracting and Network Development, as well as...website + Assist with projects as needed **Age Specific Care Considerations:** ☐ Adults: 18+ years - 35 years… more
- BrightSpring Health Services (Houston, TX)
- …company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job ... of programs and services, including host home and foster care . ResCare partners with people in the community who...of data into the company system(s). Works with Executive Director and billing/collection staff to ensure maximum reimbursement to… more
- Prime Therapeutics (Austin, TX)
- …a regulatory or compliance role, with a minimum of 3 years of experience working with managed care companies or other health care clients Must be eligible to ... tactical legal advice and support to internal clients, typically at the Director or Vice President level. **Responsibilities** + Provide tactical legal advice and… more
- Baylor Scott & White Health (Temple, TX)
- …**About Baylor Scott & White Medical Center Temple:** As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor ... White Health includes 52 hospitals, more than 900 patient care sites, more than 6,000 active physicians, more than...to comply with regulations and System philosophy. Acts as Director when needed. **Essential Functions of the Role** +… more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... issues through critical thinking and problem solving skills; notifies Manager/ Director of ongoing issues and concerns. 3. Independently performs...Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US & from clinics and… more
- Humana (Austin, TX)
- …a Health Plan or provider-based industry + Knowledge and experience in health care / managed care regulatory environment **Additional Information** To ensure ... work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality audits, prior authorization list… more
- Humana (Austin, TX)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
- Molina Healthcare (Fort Worth, TX)
- …equivalent combination of education and experience **Required Experience** * 3 years managed care experience, preferably with a national or multi-location ... better support overall population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
- Humana (Austin, TX)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... a Director within the Strategy team, works collaboratively with leaders...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Intermountain Health (Austin, TX)
- …an entire market. Ensures enrollment is completed timely and accurately. Follows-up with managed care organizations and government payers to ensure timely and ... and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health Professionals. **Essential Functions** + Participates… more