- Baylor Scott & White Health (Dallas, TX)
- …This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- Cardinal Health (Austin, TX)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... seasoned expertise in the managed care industry, this leader translates the overarching market access sales strategy into actionable, target-exceeding results.… more
- Novo Nordisk (Mission, TX)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... About the Department The Cardiometabolic Care Sales Team is at the forefront of US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which… more
- BrightStar Care (Laredo, TX)
- …excellent clerical, organization and time management skill * Must have detailed knowledge of Managed Care , private insurance, home care rules and regulations ... to join our growing team! The ideal candidate will have health care / home care experience, strong computer skills, good customer service skills and be able… more
- Texas Health Resources (Arlington, TX)
- …forecast financial impact. Collaborate with payor operations, finance, revenue cycle, chargemaster, managed care , and entities to align pricing models with ... field Req Experience 3 Years Decision support, financial analysis, healthcare pricing, managed care analytics, or revenue cycle to include experience with… more
- Molina Healthcare (TX)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie,… more
- Cardinal Health (Austin, TX)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Molina Healthcare (Houston, TX)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding, for example. + Independently delivers training and… more
- UTMB Health (Stafford, TX)
- …United States** Physician UTMB Health Requisition # 2503005 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... JOB FUNCTIONS_** **:** + Contribute to the success of the UTMB Correctional Managed Care operation. + Provides direct psychiatric care to assigned patients.… more
- Baylor Scott & White Health (Austin, TX)
- …correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or… more