- 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 ... expert for management and operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care.… more
- Molina Healthcare (Fort Worth, TX)
- …setting including in negotiating different provider contract types and VBP models, ie physician , group and hospital contracting , etc. * Working experience with, ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- HCA Healthcare (Dallas, TX)
- …This position is incentive eligible. **Job Summary and Qualifications** The Regional Director of Care Coordination leads the implementation and management of a care ... and other quality, payer, and government initiatives as directed. The Regional Director of Care Coordination facilitates growth and development of the Care… more
- Community Health Systems (Longview, TX)
- **Job Summary** The Director , Practice Management is responsible for the operational, financial, and clinical oversight of physician practices within the ... compliance, and financial sustainability across all managed practices. The Director collaborates with physicians, hospital leadership, and administrative teams to… more
- HCA Healthcare (Dallas, TX)
- …colleagues invested over 156,000 hours impacting our communities. As an Administrative Director of Bone Marrow Transplant with Medical City Dallas, you can be ... for benefits may vary by location._** Come join our team as an Administrative Director of Bone Marrow Transplant. We care for our communities and employees! HCA Hope… more
- Molina Healthcare (San Antonio, TX)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership… more
- Molina Healthcare (Fort Worth, TX)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends… more
- Travelers Insurance Company (Austin, TX)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- HCA Healthcare (Austin, TX)
- …metrics and output + You will provide and present reports to Administrative Director of Contracting , Department Directors, and Facility executives + You will ... Manage the Fair Market Valuation process: Work with Administrative Director of Contracting to initiate, submit, and...new contractors in company systems. + You will record Physician -Related Reportable Incidents + You will submit and research… more
- Molina Healthcare (Austin, TX)
- …managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity ... Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more