- Centene Corporation (Austin, TX)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...claims, contracting utilization management, or clinical operations. Project management experience… more
- Humana (Austin, TX)
- …Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including ... and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies… more
- Prime Therapeutics (Austin, TX)
- …account management, and strategy development experience in PBM, pharmacy, health plan and/or managed care + 10 years of leadership/people management experience + ... Develop a recurring process to solicit product, financial and contracting feedback from the market and establish a framework...& Experience** + Bachelor's degree in Finance, Business, Health Care Administration, or related area of study + 15… more
- WTW (Houston, TX)
- …the delivery of global sales enablement processes. + Provide support to managed accounts by partnering with Lead Relationship Managers. + Proactively analyze data ... of Excellence to support the execution of sales activities such as contracting , client intake and questionnaires and proposal support, client satisfaction and sales… more
- UTMB Health (Galveston, TX)
- …pay or regulatory requirements. + Thorough knowledge of Hospital reimbursement and managed care contract issues. + Knowledge of automated systems that ... and retention of management and operational staff. + Works closely with contracting to ensure optimal payer contract terms and is responsible for ensuring… more
- Community Health Systems (Longview, TX)
- …service delivery, regulatory compliance, and financial sustainability across all managed practices. The Director collaborates with physicians, hospital leadership, ... patient flow, and business performance while maintaining a focus on quality care , patient access, and strategic growth. **Essential Functions** + Provides leadership… more
- Centene Corporation (Austin, TX)
- …for hiring, training, assigning work and managing performance of staff. Managed care , insurance, Medicare or Medicaid experience preferred. Experience ... with provider performance, provider engagement, and provider satisfaction highly preferred. Pay Range: $145,100.00 - $268,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase… more
- Defense Health Agency (Fort Sam Houston, TX)
- …robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members. ... San Antonio is the country's seventh fastest growing city yet has somehow managed to retain a "small town feel." Quality schools and friendly locals (most with… more
- Molina Healthcare (San Antonio, TX)
- …supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education** Bachelor's degree ... with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve provider… more
- Centene Corporation (Austin, TX)
- …preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay ... strategies, including financial strategies, member materials, benefit filing and contracting . Develop innovative and competitive portfolio. + Identify opportunities… more