- Centene Corporation (San Antonio, TX)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Recruit physician , hospital and ancillary service providers to sign network participation ... for a region and set of providers + Lead assigned recruitments (ie, physician , hospital and ancillary) and ensure they result in complete and accurate standard… more
- Humana (Austin, TX)
- …projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This ... Develops a health equity strategy to update existing value-based contracting principles + Designs a social determinant of health...EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design of a new… more
- Travelers Insurance Company (Austin, TX)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- HCA Healthcare (Dallas, TX)
- …City transplant programs beyond the DFW market. + Collaborate with transplant physician leadership and existing Transplant Administrators to develop and implement a ... strategic plan for all Medical City transplant centers. + Partner with physician investigators and clinical leaders to advance research and education in solid… more
- Cardinal Health (Austin, TX)
- …evidence, technology, and tech-enabled products and services offered to specialty physician practices and industry manufacturers and partners. The solution portfolio ... team in excess of 50 FTEs, providing data- and technology-driven solutions to physician practices and industry partners. In addition, this leader will be tasked with… more
- Houston Methodist (Houston, TX)
- …data. + Provides analytical and technical support to department management and physician leadership by leading, coordinating, and completing projects related to the ... **FINANCE ESSENTIAL FUNCTIONS** + Supports leadership by working with Managed Care Contracting on insurance requests for information (RFI), assist with our FACT… more
- Insight Global (Austin, TX)
- …MI, IA, PA, IL, MS, or FL. Must have an established collaborating/supervising physician agreement in any state where such agreements are required for autonomous NP ... Medicare enrollment required, or willingness to apply immediately upon contracting . Strong ability to provide patient-centered education and referral coordination.… more
- Sanofi Group (Dallas, TX)
- …payer policy requirements and billing codes + Provide support in triaging contracting , billing and coding, access and procurement questions and other issues where ... results + Experience with T1D patients or autoimmune conditions + Physician reimbursement experience + Experience with complex medical payer policy requirements… more
- Catholic Health Initiatives (Bryan, TX)
- …information regarding insurance data, physicians, authorizations and managed care contracting . 6. Assists patients and their families with questions concerning ... plans, and Medicare supplemental plans that require pre-certification 14. Contact physician 's on scheduled patients, to notify them of authorization requirements and… more
- Molina Healthcare (Austin, TX)
- …Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends ... **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and… more