- University of Texas Rio Grande Valley (Edinburg, TX)
- …planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory standards. ... Manages relationships and negotiations with payers; evaluates, negotiates, and administers managed care contracts. * Ensures the development and monitoring of… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid ... experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as MCG(R), ASAM or… more
- UTMB Health (Galveston, TX)
- …Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care, Senior Contract Administrator position is leading, developing, and negotiating ... managed care agreements to ensure favorable reimbursement, alignment with...* Three (3) or more years of experience negotiating managed care contracts with third party payors. **Preferred Qualifications:**… more
- Houston Methodist (The Woodlands, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and federal ... multiple tasks and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources, health care… more
- UTMB Health (Richmond, TX)
- …& Care Management UTMB Health Requisition # 2504302 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... health services in compliance with ACA standards and UTMB Correctional Managed Care systems policies and departmental procedures. **_ESSENTIAL JOB FUNCTIONS_** **:**… more
- Robert Half Technology (San Antonio, TX)
- …you will focus on expanding our client base by providing expert guidance on managed IT services and solutions tailored to the commercial enterprise sector. This is ... sector. * Conduct in-depth assessments of client needs to propose tailored managed IT solutions, including cloud services, cybersecurity, and network management. *… more
- Academy Sports + Outdoors (Katy, TX)
- …Segment, Adobe, or similar composable/hybrid implementations + Experience governing QA Managed Services teams through an outsourced model where a dedicated team ... Provides management and oversight to the staff and activities of the ECom Managed Services & Personalization software QA team. Is responsible for the project… more
- Stantec (Plano, TX)
- …that help them achieve their organization's objectives. Our award-winning team has managed thousands of projects across all sectors - airports, transit and rail, ... ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team of APD project management… more
- Erickson Living (Dallas, TX)
- …North Dallas, Texas. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health ... We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's...learn and grow. Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed… more
- Molina Healthcare (Austin, TX)
- …system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. + Responsible for ensuring timely reconciliation of eligibility ... and experience **Required Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or… more