- Grifols Shared Services North America, Inc (Dallas, TX)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- HCA Healthcare (Live Oak, TX)
- …+ You will provide 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. You will meet all regulatory/contractual/accreditation… more
- Molina Healthcare (Austin, TX)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- HCA Healthcare (San Antonio, TX)
- …leading to appropriate identification of qualified rehab patients. 2. Utilizes knowledge in managed care plans in the area and assists case management, CRS ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… 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
- 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
- TEKsystems (San Antonio, TX)
- …reimbursements, discrepancy's in reimbursements, or under paid accounts * Interpretation of Managed Care Contracts * Work collaboratively with team members and ... the CBO to resolve issues on accounts. Including but, not limited to Managed Care , Reimbursement, Clinical, Admissions, Facility Business Office Manager, Coding,… more
- HCA Healthcare (Dallas, TX)
- …is responsible for assisting in the development and evolution of the overall strategy for Physician Services Coding Operations. The RCOM is responsible for oversight ... as applicable. The RCOM assists the Regional Coding Operations Director with the oversight and implementation of Coding Operations...to ensure that financial and operational risks are properly managed . + Works with the division operations team and… more
- Hilton (Dallas, TX)
- …of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\. ... reporting to Franchised Full Service, Lifestyle, and Luxury Assistant Director , you will work on projects such as the...will be like:** + Enact an appropriate Revenue Management strategy , including the pricing for all portfolio hotels assigned… more
- RTX Corporation (Mckinney, TX)
- …for a security clearance **Security Clearance:** Secret - Current **Raytheon Company, Managed By Collins Aerospace.** Have you ever wanted to help drive and ... will work collaboratively with the product line Chief Engineer, Technical Director , Architect, Integrated Product Team Leads, and other discipline Team Leads… more