- Evolent (Austin, TX)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
- Grifols Shared Services North America, Inc (Dallas, TX)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Prime Therapeutics (Austin, TX)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm Trade Relations leads a team of ... issues, contract analysis, and contract language needs in rebate contracting . + Serve as a government affairs expert including...experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and health plans +… more
- Providence (TX)
- …Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care , and Auto Claims. The Senior Quality Analyst ... As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion,… more
- Evolent (Austin, TX)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... organizations) . Passion for healthcare and subscribed to the vision of value-based care . Strong familiarity with risk-based contracting . Thrives in an… more
- Molina Healthcare (Fort Worth, TX)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Molina Healthcare (San Antonio, TX)
- …10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are rendered… more
- Molina Healthcare (TX)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports… more
- Molina Healthcare (Fort Worth, TX)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Apex Health Solutions (Houston, TX)
- … coordination required; chronic disease management or population health preferred Managed care experience preferred Strong ability to demonstrate knowledge ... at risk for poor outcomes, the Case Manager establishes care plans and goals, and coordinates care ...payers and providers choosing to engage in value-based risk contracting . Apex's unique solutions create alignment between payers and… more