- 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
- 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 **Job Description** Innovative...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
- Elevance Health (Houston, TX)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II** Location: **Virtual** - ... pm (EST) to 8:30 pm (EST)** The **Behavioral Health Care Manager II** is responsible for managing...**Licensure is a requirement for this position.** + Prior managed care experience required. For candidates working… 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
- Elevance Health (Grand Prairie, TX)
- …is licensed staff supervision. **EDUCATION/EXPERIENCE REQUIREMENTS:** + Prior experience in Managed Care setting required. **Additional requirements for BH UM:** ... This role's primary focus is ABA utilization management The ** Manager Behavioral Health Services** is responsible for Behavioral Health...activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM… 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
- Centene Corporation (Mcallen, TX)
- …Role requires strong adaptability, flexibility, and resiliency skills. + Experience working in managed care environment is a plus (Federal and State Sponsored ... 3 days per week for IN-PERSON visits with Foster Care members** **Monday - Friday 8:00 am- 5:00 pm...Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC, or RN with… more
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