- Cardinal Health (Austin, TX)
- …that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other ... (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review,… more
- The Cigna Group (Houston, TX)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... live in the Houston, TX area** The **Manager, Provider Contracting Network Management** serves as an integral member of...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Boehringer Ingelheim (Corpus Christi, TX)
- …of six (6) years of successful healthcare, business, or pharmaceutical experience. + Managed care / contracting experience preferred + Executive level ... Health System Account setting + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred + Ability to demonstrate excellent… more
- Highmark Health (Austin, TX)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Houston Methodist (Sugar Land, TX)
- …+ Maintains knowledge of Federal, State, and local billing regulations and partners with managed care contracting as needed. + Maintains knowledge of ... determinations and, denial reason and trending as appropriate, Monitors CMS, managed care and payor communications for updates/alerts/releases and functions… more
- Methodist Health System (Dallas, TX)
- …work relationships with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + ... Services Coordinator provides administrative support to the Director of Contracting and Network Development, as well as works alongside...website + Assist with projects as needed **Age Specific Care Considerations:** ☐ Adults: 18+ years - 35 years… more
- HCA Healthcare (Dallas, TX)
- …Reports, and improves reimbursement strategies. + Work with Corporate Reimbursement and Managed Care Contracting to improve transplant-related payer contract ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Houston Methodist (Houston, TX)
- …for our center. **FINANCE ESSENTIAL FUNCTIONS** + Supports leadership by working with Managed Care Contracting on insurance requests for information (RFI), ... with other reporting institutions and with the patients' primary care physicians + Works with limited supervision + Understands...and one of America's "Best Hospitals." As a full-service, acute- care hospital located in the Texas Medical Center and… more
- Catholic Health Initiatives (Bryan, TX)
- …Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting . 6. Assists patients and ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US & from clinics and...the US & from clinics and hospitals to home-based care and virtual care services CommonSpirit is… more
- HCA Healthcare (Dallas, TX)
- …of Managers, as well as attendance at Physician Partnership meetings. + Provides input for managed care contracting to ensure market initiatives are met. + ... 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