- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the ... expert for management and operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care.… more
- Molina Healthcare (San Antonio, TX)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership… more
- Molina Healthcare (Fort Worth, TX)
- …and Medicaid services. * In conjunction with direct management and senior leadership, oversees development of provider contracting strategies including ... setting including in negotiating different provider contract types and VBP models, ie physician , group and hospital contracting , etc. * Working experience with,… more
- HCA Healthcare (Dallas, TX)
- …This position is incentive eligible. **Job Summary and Qualifications** The Regional Director of Care Coordination leads the implementation and management of a care ... and other quality, payer, and government initiatives as directed. The Regional Director of Care Coordination facilitates growth and development of the Care… more
- HCA Healthcare (Austin, TX)
- …metrics and output + You will provide and present reports to Administrative Director of Contracting , Department Directors, and Facility executives + You will ... Manage the Fair Market Valuation process: Work with Administrative Director of Contracting to initiate, submit, and...new contractors in company systems. + You will record Physician -Related Reportable Incidents + You will submit and research… more
- HCA Healthcare (Live Oak, TX)
- …development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing, business development, and ... performance and practice standards across the hospital. The CMO provides senior -level leadership to the infection control, risk management, safety, and medical… more