- Cardinal Health (Austin, TX)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Cardinal Health (Austin, TX)
- …Hours: M-F 8:30-5:00 pm EST (or based on business needs)** **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible ... for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships), processing… more
- Humana (Austin, TX)
- …practice or other patient care . + Minimum of 1 year of managed care experience. The Care Manager , Telephonic Behavioral Health 2 (Autism Care ... care planning for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus on Retirees) serves as… more
- Molina Healthcare (Frisco, TX)
- JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members in in the northern part of the Fort ... to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our… more
- Elevance Health (Houston, TX)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or autism facility-based… more
- Elevance Health (Grand Prairie, TX)
- …and operations + SQL experience strongly preferred + Experience in broad-based analytical, managed care payor or provider environment as well as experience in ... as required by law. **Position Overview:** Leads and manages multiple cost of care initiatives enterprise wide (eg local, within each state, across business segments… more
- Molina Healthcare (Austin, TX)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts,… more
- Prime Therapeutics (Austin, TX)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... Manages financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA targets achieved for the… more
- Houston Methodist (Katy, TX)
- …experience in inpatient case management, social work or utilization management or in the managed care /payer environment, of which one year must have been in a ... At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible...across all shifts. + Collaborates with revenue cycle and managed care contracting teams to align UR… more
- KBR (Houston, TX)
- …on contract training coordination, safety, and quality oversight. The Manager works in a very dynamic and challenging environment where integration, ... Title: Integrated Biomedical Laboratory and Division Support Functional Manager Belong. Connect. Grow. with KBR! Around here,...TX. KBR maintains a highly qualified workforce to help care for service people and astronauts. We attract the… more