- Molina Healthcare (Houston, TX)
- …administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... activities for the state health plan. Works with direct management , corporate, and staff to develop and implement standardized...sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. *… more
- The Cigna Group (Houston, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… 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 ... improvement activities, as well as providing support for department management to achieve operational goals. This position may also...preferred **WORK EXPERIENCE** + Three years of experience in managed care and/or contract modeling… more
- R1 RCM (TX)
- …will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations at all stages of the administrative appeals ... process. Every day, you will handle contract review and appeal template development based on contractual...you must maintain a foundational understanding of Commercial, Governmental, Managed Care , and ERISA regulations regarding payment,… more
- Houston Methodist (Sugar Land, TX)
- …health assessments on all new post-offer candidates, allied health professionals (not managed by medical staff credentialing), and other contract , agency, ... Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical care for occupational… more
- Marriott (Houston, TX)
- …and building systems issues. + Demonstrates knowledge of all engineering related management contract requirements and ensures compliance with contract ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Facilities Services Manager provides tactical… more
- Valor Health (San Antonio, TX)
- … care . + Acts as point person within PACT Team. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient and ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. As a Registered… more
- ARAMARK (San Antonio, TX)
- …inventory management and control experience required. P&L accountability and/or contract - managed service experience is required. This role may have physical ... you with the necessary tools to help you take care of your health, family, finances and future. Click...and customer services is critical. + P&L accountability and/or contract - managed service experience is desirable. + Candidate… more
- Houston Methodist (Houston, TX)
- …health assessments on all new post-offer candidates, allied health professionals (not managed by medical staff credentialing), and other contract , agency, ... Health Nurse PRN position provides expert, integrated, cost-effective, quality patient care through the coordination of clinical care for occupational… more
- Valor Health (Denton, TX)
- …+ Complies with all VA and company training requirements. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. About You Valor… more
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