- Houston Methodist (Houston, TX)
- …+ Knowledge of acute care contracts, financial modeling techniques and managed care contracting, contract pricing, language requirements, rates and ... At Houston Methodist, the Director Managed Care Contracting position is responsible...timely termination submission, timely timecard approval, etc.). + Analyzes contract proposals including but not limited to analysis of… more
- Houston Methodist (Katy, TX)
- …Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. + Analyzes accounts for… more
- Houston Methodist (Houston, TX)
- …Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. Works assigned higher dollar… more
- Houston Methodist (Houston, TX)
- …with third party recovery vendors to ensure their understanding and interpretation of the managed care contract terms and intent. Reviews and approves any ... or related field preferred **WORK EXPERIENCE** + Three years of experience in managed care and/or contract modeling + Three years of experience working with… more
- UTMB Health (Galveston, TX)
- …third-party pay or regulatory requirements. + Thorough knowledge of Hospital reimbursement and managed care contract issues. + Knowledge of automated systems ... and operational staff. + Works closely with contracting to ensure optimal payer contract terms and is responsible for ensuring the appropriate collection of all… more
- Cardinal Health (Austin, TX)
- …in defining, developing, and executing go-to-market strategies that drive engagement with Managed Care Organizations (MCOs), health plans, and payor networks. ... positioning, promotion, and lifecycle marketing. The ideal candidate brings expertise in the managed care landscape-paired with the ability to translate data and… more
- US Physical Therapy (Houston, TX)
- …a ** Contract Manager/Analyst.** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- Methodist Health System (Dallas, TX)
- …Medical Group to its clients * Evaluate and report on managed care activities via reimbursement and contract analysis. * Provide leadership and direction ... Group. * Supports Methodist Medical Group's mission and vision of Quality Care , outstanding Patient Experience and financial success. * Leads their specific region… more
- Valor Health (San Antonio, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Physician San Antonio, TX (http://maps.google.com/maps?q=6938+Walzem+Rd+San+Antonio+TX+USA+78239) Apply Description Valor Healthcare is looking for a… more
- Valor Health (San Antonio, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Nurse Practitioner San Antonio, TX (http://maps.google.com/maps?q=1714+SW+Military+San+Antonio+TX+USA+78221) *...preferred. Specific requirements could vary based on individual VA contract . + Must be credentialed and remain in good… more