- 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 ... payment contracts, quality metric bonus program and risk contracts. The Director position responsibilities include overseeing the activities of the department staff,… more
- Cardinal Health (Austin, TX)
- …and provider (s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity as it relates to payer ... Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting... Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance,… more
- Molina Healthcare (Fort Worth, TX)
- … contracts and contracting strategies. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for leading the daily ... departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations of… more
- Molina Healthcare (San Antonio, TX)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- Highmark Health (Austin, TX)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts… more
- Molina Healthcare (Austin, TX)
- …needs and tailored for Medicaid, Medicare, and Marketplace populations. + Develops contracting frameworks that are inclusive and attractive to a broad array of ... provider types, including Federally Qualified Health Centers, behavioral health...determinants of health and health equity principles into Value-Based Contracting models to optimize health outcomes for underserved populations.… more
- Danaher Corporation (Austin, TX)
- …the world's biggest healthcare challenges. We are looking for a dynamic Director , National Government Accounts who will be responsible for creating and executing ... the commercial strategy including sales, marketing and contracting with the US Government including the Federal Supply Schedule, VISN's/VA's, DHA, Indian Health, and… 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 healthcare ... compliance, and financial sustainability across all managed practices. The Director collaborates with physicians, hospital leadership, and administrative teams to… more
- Texas A&M University System (Gonzales, TX)
- Job Title Resident Director - Gonzalez Agency Texas A&M Veterinary Medical Diagnostic Laboratory Department Gonzales Proposed Minimum Salary Commensurate Job ... Staff Job Description Job Description Summary This position functions as the resident director and leader of TVMDL's Gonzales laboratory. The Resident Director … more