- CVS Health (Austin, TX)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... your next role?! In this high impact role as Director of Trade Relations - Contract Negotiator, you will...Qualifications:** -10+ years of professional work experience in healthcare, managed care , health plans, or PBM, preferably… more
- Molina Healthcare (Austin, TX)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Texas Health Resources (Arlington, TX)
- Director Care Transition _Are you looking...as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, ... / Operations - Responsible for the effective daily operation of the care transition function. Responsible for providing and/or implementing strategies to improve… more
- Baylor Scott & White Health (Dallas, TX)
- …of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or integrated ... of the Vice President, Revenue Cycle Support Services, the Director , Payer Performance leads Revenue Cycle's strategic efforts to...as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline… more
- Bausch + Lomb (Houston, TX)
- …sound business practices to effect appropriate changes to issues affecting Managed Markets including contracting , formulary access, product distribution, ... **Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of… more
- Ascendis Pharma (TX)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible for developing… more
- Houston Methodist (Katy, TX)
- …related activities. Collaborates with case management department, revenue cycle, quality, and managed contracting teams to ensure alignment of UM processes with ... At Houston Methodist, the Director Centralized Utilization Review (UR) position is responsible...according to department specifications. + Actively participates in the managed contracting process to advise on utilization… more
- Molina Healthcare (San Antonio, TX)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... multi-state licensure. 5 years in behavioral health-specific managed care leadership. + Experience with value-based contracting , fraud/waste/abuse… more
- Highmark Health (Austin, TX)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Stantec (Plano, TX)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more