- US Tech Solutions (TX)
- …skills and detail orientation important for this position. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE 6 months ... **Education:** + Pharm D. required with at least two years experience as a pharmacist in Managed care environment. + Must have an active license in the state of… more
- CVS Health (Austin, TX)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Austin, TX)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- HCA Healthcare (Austin, TX)
- …collecting financial and insurance information from pre-transplant, post- transplant and managed care patients, verifying coverage, and obtaining required ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator, Managed Care Coordinator, etc.), other health services professionals, and mental ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Evolent (Austin, TX)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- UT Health San Antonio (San Antonio, TX)
- …Chair of Community Psychiatry and Chief Medical Officer of the Center for Health Care Services (CHCS). The CHCS is the Local Mental Health Authority of Bexar County, ... full time basis of CMO of CHCS under a contract between CHCS and UT Health San Antonio. Applicants...the University Health System and the Center for Health Care Services under the appropriate staff category and must… more
- HCA Healthcare (Dallas, TX)
- …reimbursement strategies. + Work with Corporate Reimbursement and Managed Care Contracting to improve transplant-related payer contract negotiations and ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Centene Corporation (Mcallen, TX)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve… more
- Humana (Austin, TX)
- …impact** **Required Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts ... to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers....serve to achieve their best health - delivering the care and service they need, when they need it.… more