- Centene Corporation (Austin, TX)
- …processing, billing and/or coding experience preferred. Three years of experience in managed care environment, medical provider office, customer service within a ... deletes and updates to key provider groups and model contract + Research and identify any processing inaccuracies in...healthcare organization, and medical claims. Knowledge of health care , managed care , Medicare or… more
- Centene Corporation (Austin, TX)
- …of network development and provider relations or contracting management in a health care or managed care environment required. Previous management experience ... analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. + Oversee the coordination and negotiation… more
- Humana (Austin, TX)
- …and network administration in a healthcare company + Experienced in negotiating managed care contracts with large physician groups and ancillary providers. ... of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- BrightSpring Health Services (Arlington, TX)
- …company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job ... with a comprehensive range of programs and services, including host home and foster care . ResCare partners with people in the community who open their homes to… more
- The City of Houston (Houston, TX)
- …opportunities + Transportation/parking plan + Section 125 pretax deductions + Dependent Care Reimbursement Plan + Paid Prenatal, Parental and Infant Wellness ... and construction of infrastructure and facilities in accordance with the contract . Manages and oversees capital rehabilitation of airport infrastructure projects +… more
- Evolent (Austin, TX)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement ...Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US & from clinics and… more
- Centene Corporation (Lubbock, TX)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve… more
- RTX Corporation (Mckinney, TX)
- …a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace We are currently seeking an experienced Principal ... Baseline (PMB) for earned value / project management purposes + Establish a Contract Work Breakdown Structure (CWBS) and CWBS Dictionary + Perform analysis of… more
- Elevance Health (Houston, TX)
- …and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of ... Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues. + Coordinates communications… more