- Ascendis Pharma (TX)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... leveraging deep expertise in Pharmacoeconomics, real-world evidence generation, and value-based care solutions to function as a disease state, clinical, and health… more
- Humana (Austin, TX)
- …an impact** **Required Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider ... community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Molina Healthcare (Fort Worth, TX)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are… more
- Houston Methodist (Sugar Land, TX)
- …+ Maintains knowledge of Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains knowledge of ... determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions… more
- Molina Healthcare (Austin, TX)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified ... utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Teleflex (Houston, TX)
- …anesthesiologists, nurse anesthesiologists, members of the surgical team and various health care professionals in operating rooms, surgical centers, as well as ... hospital administration and procurement teams. The work involves driving...serving as the key point of contact in acute care accounts from initial lead outreach to order fulfilment… more
- Houston Methodist (Houston, TX)
- …for our center. **FINANCE ESSENTIAL FUNCTIONS** + Supports leadership by working with Managed Care Contracting on insurance requests for information (RFI), ... in Texas and one of America's "Best Hospitals." As a full-service, acute- care hospital located in the Texas Medical Center and the flagship hospital … more
- HCA Healthcare (El Paso, TX)
- …+ Informs managed care department of new managed care patients that may require special contracting prior to evaluation and/or transplantation. + ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
- Catholic Health Initiatives (Houston, TX)
- …Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting . 6. Assists patients and ... Responsibilities** Assist in providing access to services provided at the hospital . Knowledge of all tasks performed in the various Verification/Pre‐certification… more