- Cardinal Health (Austin, TX)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Molina Healthcare (TX)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- US Physical Therapy (Houston, TX)
- …within closed networks + Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculation. ... a positive attitude to join our company as a ** Contract Manager /Analyst.** This is a dual role...This is a dual role that will support the ** Managed Care Operations Team** . The person… more
- Molina Healthcare (Austin, TX)
- …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Prime Therapeutics (Austin, TX)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
- Centene Corporation (Corpus Christi, TX)
- …Case Manager /Social Worker roles is a PLUS . Experience working in a managed care environment is a plus (Federal and State Sponsored Govt Programs), but ... adults (18- 65)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Marriott (Houston, TX)
- …**Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Facilities Services Manager provides tactical direction and support to the GM's (and their ... RD's throughout the properties in the cluster to ensure effective delivery of results, managed execution of projects and to identify talent in the region. As a… 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 and ... and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- CVS Health (Austin, TX)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- Molina Healthcare (Houston, TX)
- …administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. * Oversees and leads the… more