- Molina Healthcare (Houston, TX)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Evolent (Austin, TX)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- WTW (Houston, TX)
- …organization, health benefits consulting or brokerage environment, health insurance carrier, managed care organization or another leading health care ... **Description** As a Health Analytics Director you will partner with other Senior Consultants...plans; finalize and present deliverables to clients + Lead contracting efforts, including coordinating with client procurement and/or legal… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Takeda Pharmaceuticals (TX)
- …tools for Territory and Data Analytics to monitor and evaluate accounts, industry/ managed care trends and communicate relevant information to Accounts and ... selling opportunities and adaptability to changing market conditions + Understanding of managed care landscape and how it influences/impacts business + Strong… more
- HCA Healthcare (San Antonio, TX)
- …+ Provides medical consultation on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- Prime Therapeutics (Austin, TX)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- Methodist Health System (Dallas, TX)
- …work relationships with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + ... The Provider Services Coordinator provides administrative support to the Director of Contracting and Network Development, as...website + Assist with projects as needed **Age Specific Care Considerations:** ☐ Adults: 18+ years - 35 years… more
- Apex Health Solutions (Houston, TX)
- … coordination required; chronic disease management or population health preferred Managed care experience preferred Strong ability to demonstrate knowledge ... at risk for poor outcomes, the Case Manager establishes care plans and goals, and coordinates care ...services appropriate to the member being served. Reports to: Director , Health Services Location: Houston, TX area; will consider… more
- Lockheed Martin (Fort Worth, TX)
- …corporation\. The selected individual will be responsible for assisting the Director , Global Pursuits Indo\-Pacific in developing strategic approaches for the region ... Foreign Military Sales \(FMS\) and Direct Commercial Sales \(DCS\) program/ contracting processes\. Business Development Experience **Desired Skills:** * Familiarity… more