- Houston Methodist (Katy, TX)
- …Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation ... focus and application of positive language principles + Extensive knowledge of claims reimbursement and collection efforts for Managed Care , Medicare,… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …include revenue cycle management and supervisory experience. Preferred Experience Involvement with managed care contract negotiation and payer relations. ... financial planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory… more
- Centene Corporation (Austin, TX)
- …Plans (D-SNPs) (compliance, product, and operations)._** + **_Experience in Medicare Managed Care and D-SNP compliance programs (audits, risk, regulations)._** ... department functions, including but not limited to, regulatory and D-SNP contract review and interpretation, periodic monitoring and auditing activities based on… more
- CVS Health (Austin, TX)
- …executing national, regional, or market level strategies. + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Austin, TX)
- …negotiation, and execution of contracts with providers and delivery systems for Aetna's managed care networks. This role is responsible for driving value-based ... Collaboration:** Partners with internal teams on provider compensation, pricing, contract submissions, and reimbursement modeling, Reviews and analyzes… more
- Humana (Austin, TX)
- …administration in a healthcare company or related area + Experience working with managed care contracts with large physician groups, ancillary providers and/or ... ACO/Risk Contracting + Experience with Value Based Contracting + Experienced in negotiating managed care contracts + Texas market experience (live within region,… more
- Phillips 66 (Houston, TX)
- …+ Total well-being programs and incentives, including Employee Assistance Plan, well-being reimbursement , and backup family care services Learn more about ... the reduction of tail spend. * Develop and improve fit-for-purpose centrally managed strategies to ensure compliance with and procurement policies while promoting… more
- Amgen (San Antonio, TX)
- …metrics, CHF/interventional performance priorities) + District Management Experience preferred + Reimbursement / managed care experience highly desirable ... Develops and executes innovative strategies to reach difficult to access health care providers and accounts in a compliant manner + Maintains comprehensive account… more
- Red Hat (Austin, TX)
- …(SRE) will lead a US-based team responsible for developing and operating Red Hat's managed OpenShift service offering on Azure. This is a highly visible role that ... across multiple public cloud providers. + Previous involvement in scaling managed services within a high-growth organization. + Hands-on technical expertise in… more
- Prime Therapeutics (Austin, TX)
- …Management (PBM), healthcare or other highly regulated industry; including 3 years of managed care experience in medical or pharmacy network contracting + Must ... care /PBM industry, Medicaid, Medicare and health plans + Familiarity with contract language and pharmacy reimbursement methodologies Every employee must… more