- Sumitomo Pharma (Austin, TX)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...+ Interact with internal departments (Internal Audit, Commercial Insights, Contracting , SOX Compliance, and Legal) to clarify policy compliance… more
- Amazon (Austin, TX)
- …and partner with internal stakeholders to fix - Drive RFP and contracting administration - Strong LP's include: Deep Dive, Customer Obsession (both partner ... in PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid , Medicare Part D, and commercial innovation. - Bachelor's degree in… more
- Abbott (Austin, TX)
- …Alpharetta, GA)** is looking for a **Contract Strategy & Business Engagement Manager ** **.** This person will spearhead the development, execution, and optimization ... of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying innovative pricing frameworks, ensuring… more
- CVS Health (Austin, TX)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables in this role include: *… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement. Executes… more
- Molina Healthcare (Houston, TX)
- …lead or support various Provider Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… more
- Centene Corporation (Austin, TX)
- …VBC contract management. + Monitors VBC performance under risk arrangements for Medicaid and Medicare product lines. + Performs data analysis and develops specific ... experience in Network Development, Provider Relations or Value-based / Risk Contracting **Candidate Experience:** Required 5+ years of experience in the healthcare… more
- Centene Corporation (Austin, TX)
- …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… more
- Integrative Emergency Services (Dallas, TX)
- …the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment. ... + Conveys issues and status of problems to Enrollment Manager . + Ensures Held A/R enrollments are submitted on...Florida, Texas, and Arizona + Florida plans include: Medicare, Medicaid , RR Medicare, Tricare, Florida Blue, United, Oscar, Cigna,… more
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