- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the ... of acute care contracts, financial modeling techniques and managed care contracting , contract pricing, language requirements, rates and schedules,… more
- 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
- Molina Healthcare (Fort Worth, TX)
- …SKILLS & ABILITIES** : * 7+ years' experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Evolent (Austin, TX)
- …in health care legal and regulatory areas - required + Experience with managed care contracting and value-based models-preferred + Strong written and ... including but not limited to: general corporate transactions, managed care , HIPAA, provider and vendor contracting , compliance, population health (including… 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
- Methodist Health System (Dallas, TX)
- …and regulations, patient rights, quality of care issues, informed consent, managed care contracting and negotiations, provider credentialing, and billing ... MHS is a large, dynamic, and growing organization, with seven acute care hospitals, a medical group, jointly owned surgical hospitals and ambulatory surgical… 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
- 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