- United Therapeutics (Austin, TX)
- …pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy, managed care , sales/marketing or related ... pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy, managed care , sales/marketing or related… 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
- The Cigna Group (Austin, TX)
- …for meeting the plan results **Qualifications** + 5+ years' of experience in health care / managed care work experience + Strong Experience with various data ... dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor. In this role, you...medical coding: CPT, ICD9, HCPC preferred + Understanding of managed care business processes, data, systems, and… more
- IQVIA (Houston, TX)
- …to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be ... looking for a 100% remote (work from home-WFH) contact ** Care Navigator - Certified Biller and Certified Coder REQUIRED**...advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an… more
- Molina Healthcare (Houston, TX)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting...experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider … more
- Cardinal Health (Austin, TX)
- …policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation ... **_What Managed Care contributes to Cardinal Health_**...Key member of negotiating team for company. + Negotiates contract language across all contracts, striving for uniformity among… more
- Humana (Austin, TX)
- …+ Minimum of 3 years' experience working in clinics, hospital case management, managed care settings, Autism services and/or other healthcare settings. + Above ... a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest… 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=6938+Walzem+Rd+San+Antonio+TX+USA+78239) Apply...preferred. Specific requirements could vary based on individual VA contract . + Must be credentialed and remain in good… more
- Valor Health (New Braunfels, 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 New Braunfels, TX (http://maps.google.com/maps?q=790+Generations+Drive+New+Braunfels+TX+USA+78130) Apply Job Type Full-time… 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