- CVS Health (Austin, TX)
- …executing national, regional, or market level strategies. * In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... of ancillary contracting , ie DME, Lab, Infusion, Home Health, Urgent Care and Vendor * Demonstrated high proficiency with personal computer, mouse, keyboard and… 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 ... required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Elevance Health (Houston, TX)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Option Care Health (Austin, TX)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...lead meetings with health plans and corporate teams, including Managed Markets and Contracting leadership, to review… more
- CVS Health (Austin, TX)
- …Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities ... 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
- Boehringer Ingelheim (Corpus Christi, TX)
- …of six (6) years of successful healthcare, business, or pharmaceutical experience. + Managed care / contracting experience preferred + Executive level ... Health System Account setting + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred + Ability to demonstrate excellent… more
- US Physical Therapy (Houston, TX)
- …+ An understanding of contracting within closed networks + Interprets managed care contracts and government reimbursement methodologies to create contract ... positive attitude to join our company as a **Contract Manager /Analyst.** This is a dual role that will support...This is a dual role that will support the ** Managed Care Operations Team** . The person… 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 ... would be available to provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process + Understand… more
- Apex Health Solutions (Houston, TX)
- … coordination required; chronic disease management or population health preferred Managed care experience preferred Strong ability to demonstrate knowledge ... identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals, and...payers and providers choosing to engage in value-based risk contracting . Apex's unique solutions create alignment between payers and… 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