- Sumitomo Pharma (Austin, TX)
- …seeking a 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 ...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- Abbott (Austin, TX)
- …Our team in **Austin, TX (or 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… more
- Elevance Health (Grand Prairie, TX)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** _Location:_ This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Houston Methodist (Houston, TX)
- …Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation + Extensive knowledge of ... At Houston Methodist, the Senior Commercial Collector position is responsible for ensuring...collaborations with third party vendors and projects + Informs manager of payer trends or any problems or changes… more
- CenterWell (Austin, TX)
- …of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more
- Elevance Health (Grand Prairie, TX)
- **CareBridge Sales Operations Manager ** **Location:** Nashville, TN; Grand Prairie, TX; Wilmington, DE; Miami; FL; Atlanta, GA (preferred). This role enables ... face-to-face onboarding and skill development. The **CareBridge Sales Operations Manager ** is responsible for providing day-to-day support along with overall… more
- Fresenius Medical Center (Plano, TX)
- …the appropriate accounts in the appropriate medical billing software application (Medical Manager or Imagine). + Verifies that the applied transactions reconcile to ... and updates the appropriate accounts on the Denial Batch Manager log. Updated information reviewed by the A/R Representative...if claims are being reimbursed according to the payer contract or government published fee schedule. + Accounts with… more