- Cardinal Health (Austin, TX)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
- Intermountain Health (Austin, TX)
- …rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides ... feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...contracts are aligned with original intent of health system contracting efforts. + Work with Compliance, Finance and Government… more
- Texas Health Resources (Arlington, TX)
- …and techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and ... Director Care Transition _Are you looking for a rewarding...- Responsible for the effective daily operation of the care transition function. Responsible for providing and/or implementing strategies… more
- Baylor Scott & White Health (Dallas, TX)
- …of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or integrated ... role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director will… 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 (Katy, TX)
- …UR and denials team functions across all shifts. + Collaborates with revenue cycle and managed care contracting teams to align UR processes. Monitors and ... experience in inpatient case management, social work or utilization management or in the managed care /payer environment, of which one year must have been in a… 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 ... insurance and governmental programs, state and federal regulations and billing processes, managed care contracts and coordination of benefits related to… 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
- HCA Healthcare (San Antonio, TX)
- …of Managers, as well as attendance at Physician Partnership meetings. + Provides input for managed care contracting to ensure market initiatives are met. + ... Want to join a team of daring managers who care without reservations or limits? Our Surgery Ventures team...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Elevance Health (Grand Prairie, TX)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more