- 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 (Houston, TX)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Xcel Energy (Lubbock, TX)
- …benefits: Annual Incentive Program, Medical/Pharmacy Plan, Dental, Vision, Life Insurance, Dependent Care Reimbursement Account, Health Care Reimbursement ... key suppliers. This position is responsible for managing the staff augmentation managed service providers used by Xcel Energy with budgetary responsibilities in the… more
- Cardinal Health (Austin, TX)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… more
- Baylor Scott & White Health (Austin, TX)
- …or correspondence. Collects inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...resolve payment issues and penalties owed to BSWH under Managed Care contracts. + Contacts insurance company… more
- US Anesthesia Partners (Dallas, TX)
- …Drafts, reviews, and negotiates in-network contracts with commercial health insurers, managed care organizations (MCOs), and third-party administrators (TPAs). + ... toward a common vision: Empowering people to advance exceptional care . POSITION SUMMARY:This position provides advice and counsel in...Analyzes contract language for reimbursement terms, rate schedules,… more
- Apex Health Solutions (Houston, TX)
- …* Preferred: Master's Degree Experience * Required 3+ years of experience in managed care environment, health plan finance, provider network management or ... Collaborative and their office staff. The position assists in contract negotiations, contract management and optimizing a...managed care consulting. * At least one… more
- The Cigna Group (Austin, 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
- Centene Corporation (Austin, TX)
- …6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the principles of ... business relationships and opportunities + Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate...negotiation. Familiarity with managed care , State and/or Federal health … more