- Defense Health Agency (San Antonio, TX)
- …care of all patients and insures return from consultant. Admits patients to the hospital when appropriate. Monitors and manages care for patients as they move ... robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members.… more
- The Cigna Group (Houston, TX)
- …strong external relationships with provider partners. + Intimate understanding and experience with hospital , managed care , and provider business models. + ... involving complex delivery systems and organizations required.** + **Experience in a Managed Care , Healthcare, Health Insurance environment** + Experience in… more
- Community Hospital Corporation (Plano, TX)
- Community Hospital Corporation (CHC), a DFW Top 100 Employer, is looking to hire a Manager, Member Success based out of our home office in Plano, TX. The Manager, ... Member Success, manages and coordinates the organization's supply chain and hospital account relationships. This role involves overseeing corporate supply chain… more
- Molina Healthcare (San Antonio, TX)
- …* Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Identified as contract system lead by developing and ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and... field including, but not limited to, provider's office, managed care , or other health care… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... and/or Director in the negotiation of medical group/IPA and hospital VBC contracting . * Serves as VBC...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Molina Healthcare (TX)
- …different provider contract types, ie, physician, group and hospital contracting , etc. + Working familiarity with various managed healthcare provider ... customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience...negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina… more
- BrightSpring Health Services (San Antonio, TX)
- …communicating (verbally and in writing) with skilled nursing, assisted living, subacute and managed care organizations to assess market needs. + Works with RVP ... for products and service. Prior experience in B2B Long-Term Care Sales or Pharmacy Services Sales a plus. Remote...Accounts * Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan * Company… more
- Texas Health Resources (Bedford, TX)
- …and techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and ... of care in the DFW mid-cities. As a 322-bed, acute- care , full-service hospital , we provide high-quality, convenient care to residents of Hurst,… more
- HCA Healthcare (Austin, 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
- Baylor Scott & White Health (Dallas, TX)
- …of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or integrated ... This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director… more
