- 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 Houston ... payers include commercial payers, separate transplant contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral health, worker's… more
- Texas Health Resources (Arlington, TX)
- **Sr. Director Ambulatory Services and Financial Operations** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're ... Urgent Care, Virtual Care Delivery, Texas Health Behavioral Health Video Visits, Executive and Concierge Health, the Addiction Recovery Center and all other… more
- Centene Corporation (Austin, TX)
- …with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of ... oversight activities and prioritization of work. + Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business… more
- Humana (Austin, TX)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- CVS Health (Austin, TX)
- …an exciting opportunity to join it's CVS Health's leadership team as a Director , Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct… more
- Humana (Austin, TX)
- …with fellow team members, subject matter experts, members of Humana's executive Management Team, and corporate, functional, and business unit leaders. Recent ... Developing high quality, insightful, and clear analysis and deliverables for Humana's executive management team and Board of Directors + Developing hypotheses to be… more
- Gentiva (Lubbock, TX)
- …Care Manager Senior** to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for assisting branch ... including industry standards, regulations, and best practices (ie, Medicare, Medicaid , JCAHO, ACHC), company policies/procedures, and understanding of terminally ill… more
- Humana (Austin, TX)
- …work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality audits, prior authorization list ... Persuasive, collaborative business acumen with the ability to influence others + Executive presentation skills and ability to communicate with all levels +… more
- Gentiva (Spring, TX)
- …**As a Hospice Patient Care Manager, You Will:** * Report directly to the Executive Director , Administrator, or Senior Patient Care Manager * Oversee and direct ... to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC) * Knowledge and compassion for terminally ill patients… more
- HCA Healthcare (Jourdanton, TX)
- …and SLP's to implement and assess the intervention program. + Provides Director with constructive suggestions to problem solve, assist with maintaining productivity ... 1. Required: * Physical Therapy License issued by The Executive Council of Physical Therapy and Occupational Therapy (ECPTOTE)...as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A… more