- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Sedgwick (Fort Worth, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....including two (2) years in a supervisory capacity. **TAKING CARE OF YOU** + Flexible work schedule. + Referral… more
- Molina Healthcare (San Antonio, TX)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to… more
- AbbVie (Dallas, TX)
- …across the Surgical/Interventional Glaucoma sector, geography and franchise(s), including Key Managed Care and Payer dynamics. Share and provide quantitative ... pharmaceutical, medical, and surgical industry experiences such as physician/account-based selling, training, managed health care and marketing. + Ability to set… more
- Health Care Service Corporation (Houston, TX)
- …respective office location. **JOB REQUIREMENTS:** * Bachelor Degree OR 4 years' experience selling managed care products and/or managed care account ... State Insurance Agent License. * 8 years of experience with selling group health managed care products and in managed care account management or… more
- Texas Health Resources (Arlington, TX)
- Director Care Transition _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and precertification… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Health Care Service Corporation (Richardson, TX)
- …**:** + Bachelor's degree OR 4 years' experience in selling or account management of managed care products. + Current, valid State Agent Insurance License. + 8 ... years' experience in managed care insurance sales. + 3 years of management experience in a managed care environment in account management or sales. +… more
- Baylor Scott & White Health (Dallas, TX)
- …denials. This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
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