- CenterWell (Austin, TX)
- …required. + Familiar with CAQH + Bilingual; English & Spanish + Experience in managed care or health care administration desired **Additional Information** + ... regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional… more
- Merck (Austin, TX)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Customer Strategy, Health Economics, Immunizations, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product… more
- CVS Health (Austin, TX)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... **Required Qualifications:** -10+ years of professional work experience in healthcare, managed care , health plans, or PBM, preferably with a focus on financial… more
- Deloitte (Dallas, TX)
- …engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting ... plan/insurance company experience + 1+ year(s) of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development… more
- HCA Healthcare (Austin, TX)
- …to the Provider Enrollment Account Management team or Strategic Pricing and Analytics (SPA) Managed Care Team for resolution. **In this role you will** **be ... one-year related healthcare experience preferred, such as Medicare/Medicaid Enrollment or Managed Care Enrollment. + Relevant education may substitute experience… more
- Prime Therapeutics (Austin, TX)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... clinical and/or managed care setting Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional… more
- Humana (Austin, TX)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... staff to provide Humana members with optimal value based care in accordance with Medicare and Humana policy. All...a medical management review organization such as Medicare Advantage, managed Medicaid, or Commercial health insurance + Current and… more
- Highmark Health (Austin, TX)
- …year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL,… more
- UTMB Health (Woodville, TX)
- …Patient Care UTMB Health Requisition # 2502922 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... **:** + Contributes to the success of the UTMB Correctional Managed Care operation. + Adheres to internal controls and reporting structure established… 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 ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more