- Cardinal Health (Austin, TX)
- …when there are specific managed care operations questions including contract questions and analysis related to reimbursement . + Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… 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
- 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
- Centene Corporation (San Antonio, TX)
- …Experience with health care provider negotiations for pharmacy benefit management or managed care preferred. Valid drivers license for the state of Texas ... years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- MD Anderson Cancer Center (Houston, TX)
- …reporting solutions for stakeholders. Managed Care Knowledge * Interpret managed care contract language to operationalize payment terms in Epic. ... critical role in building and optimizing managed care contracts within Epic, ensuring accurate reimbursement ...excellence. The ideal candidate will have managed care reporting experience with Epic contract maintenance.… more
- Baylor Scott & White Health (Dallas, TX)
- …initiatives, including communications of contracts to joint venture partners. 8. Ensures accuracy of managed care contract rates and language maintained in ... financial and operational performance of existing managed care contracts. Negotiates and administers contracts, contract ...role. 4. Experience in negotiation of managed care contracts. 5. Understanding of healthcare reimbursement … 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
- Valor Health (New Braunfels, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Physician - VA employees welcome New Braunfels,...of salary + 401K plus company match + CME reimbursement and extra time off + Generous time off… 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 ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Health Care Service Corporation (Richardson, TX)
- …least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one ... providers for assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups and… more