- US Physical Therapy (Houston, TX)
- …** 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
- Molina Healthcare (TX)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations… more
- Mass Markets (TX)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… 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
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... tools. 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs ad… more
- Methodist Health System (Dallas, TX)
- …Net Revenue generation for contracted plans for the health system Supports the managed care division's initiatives through analysis and performs forecasts on the ... impact of reimbursement terms during contract negotiation process * Develops and produces financial reports on a periodic and ad-hoc basis for management. Monitor… more
- Elevance Health (Grand Prairie, TX)
- …is licensed staff supervision. **EDUCATION/EXPERIENCE REQUIREMENTS:** + Prior experience in Managed Care setting required. **Additional requirements for BH UM:** ... activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM...states that do not require licensure a Board-Certified Behavioral Analyst (BCBA) is also acceptable if all the following… more
- Toyota (Plano, TX)
- …position at this time._ **Who we're looking for** As the Cybersecurity Senior Analyst , Global Service Delivery, you will work closely with the cross-functional teams ... Ensure the outcome of the quarterly planning sessions are managed according to the strategy and plan. + **Project...to manage the project effectively. + **Vendor selection and Contract Management:** Oversee the vendor selection and contract… 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...(Kidney, Liver, Pancreas and Heart). + Work with division analyst to evaluate competitive market trends and opportunities. **Operational… more