- 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
- 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