- HCA Healthcare (Dallas, TX)
- …Surgery Centers. This entails financial analysis and management, cash flow, and knowledge of managed care contract reimbursement as well as general ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- Houston Methodist (Houston, TX)
- …the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a technical expert for management and ... contracts for reimbursement of services billed through managed care . The managed ...acute care contracts, financial modeling techniques and managed care contracting, contract pricing,… more
- Molina Healthcare (Austin, TX)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Guidehouse (San Antonio, TX)
- …components. * Provides oversight and executive level management to overcall contract operations often involving multiple projects/tasks and groups of personnel at ... leading teams **Experience with oversight and executive level management for overall contract operations** **What Would Be Nice to Have** **:** + Experience with… more
- UTMB Health (Galveston, TX)
- …UTMB Health Requisition # 2504255 **JOB SUMMARY** The primary responsibility of the Managed Care , Senior Contract Administrator position is leading, ... developing, and negotiating managed care agreements to ensure favorable reimbursement , alignment...HMOs, PPOs, ACOs, and Medicaid/Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance to ensure… more
- US Physical Therapy (Houston, TX)
- …+ Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation ... a positive attitude to join our company as a ** Contract Manager/Analyst.** This is a dual role that will...negotiation reimbursement analysis and modeling for the Managed Care Team as a whole **Qualifications**… more
- Highmark Health (Austin, TX)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Baylor Scott & White Health (Dallas, TX)
- …Cycle's interests in contract negotiations; maintain a strong working knowledge of managed care contract language and operational implications * Provide ... with the Revenue Analytics team and Managed Care to assess financial impacts of commercial contract... Care to assess financial impacts of commercial contract changes and ensure alignment with reimbursement … more
- Texas Health Resources (Arlington, TX)
- …forecast financial impact. Collaborate with payor operations, finance, revenue cycle, chargemaster, managed care , and entities to align pricing models with ... field Req Experience 3 Years Decision support, financial analysis, healthcare pricing, managed care analytics, or revenue cycle to include experience with… more
- UTMB Health (Galveston, TX)
- …pay or regulatory requirements. + Thorough knowledge of Hospital reimbursement and managed care contract issues. + Knowledge of automated systems that ... throughout the Enterprise on denials trends and opportunities for maximizing reimbursement . + Responsible for the coordination and provision of personnel and… more