- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** Join our team as an IT Managed Services Operations Manager , where you'll serve as the Managed Services ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- 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
- US Physical Therapy (Houston, TX)
- …motivated, autonomous individual who has a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role that will support the ** ... Managed Care Operations Team** . The person...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Grand Prairie, TX)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving… more
- Molina Healthcare (Bedford, TX)
- JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members 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
- Centene Corporation (Austin, TX)
- …centers, community-based Counseling/ Mental Health environments, or Behavioral Health Managed Care organizations * Experience conducting intake assessments ... weekend or holidays** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Centene Corporation (Mcallen, TX)
- …behavioral health hospital, community mental health, substance abuse/ detox recovery treatment, managed care behavioral health, or state social services settings ... days per week.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Community Hospital Corporation (Plano, TX)
- …management efficiencies, and supporting contract negotiations for owned, managed , and affiliate healthcare facilities. The Manager coordinates Group ... DFW Top 100 Employer, is looking to hire a Manager , Member Success based out of our home office...existing partnerships and develop new strategic alliances. GPO & Contract Coordination: + Coordinates GPO compliance and conversion initiatives… more