- Cardinal Health (Austin, TX)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Humana (Austin, TX)
- …practice or other patient care . + Minimum of 1 year of managed care experience. The Care Manager , Telephonic Behavioral Health 2 (Autism Care ... care planning for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus on Retirees) serves as… more
- Molina Healthcare (Austin, 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
- Cardinal Health (Austin, TX)
- **Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)** **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is ... responsible for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships),… more
- Molina Healthcare (San Antonio, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Baylor Scott & White Health (Dallas, TX)
- …Monitors financial and operational performance of existing managed care contracts . Negotiates and administers contracts , contract rates, and ... responsible for planning, developing, and implementing new and existing managed care contracts for Baylor... to joint venture partners. 8. Ensures accuracy of managed care contract rates and… more
- Molina Healthcare (Frisco, TX)
- JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members in in the northern part of the Fort ... to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our… more
- Elevance Health (Houston, TX)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or autism facility-based… more
- Elevance Health (Grand Prairie, TX)
- …and operations + SQL experience strongly preferred + Experience in broad-based analytical, managed care payor or provider environment as well as experience in ... as required by law. **Position Overview:** Leads and manages multiple cost of care initiatives enterprise wide (eg local, within each state, across business segments… 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, ... Manages financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA targets achieved for the… more