- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of ... + Knowledge of acute care contracts, financial modeling techniques and managed care contracting , contract pricing, language requirements, rates and… more
- Molina Healthcare (Houston, TX)
- …SKILLS & ABILITIES** : * 7+ years' experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Molina Healthcare (Houston, TX)
- …and experience with value-based contracting . * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and ... in the successful development of the provider network, including development, contracting and management of provider relationships and communications. Manages a team… more
- Molina Healthcare (Houston, TX)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Houston, TX)
- …+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are...Director + Demonstrated experience in Utilization/Quality Program management +… more
- Black & Veatch (Houston, TX)
- **Solution Sales Director - Sustainability, Planning & Optimization** Date: Jun 27, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own ... other accounts to identify opportunities, validate win probability, manage the sales and contracting process, close the deal and lead the contract signing using a… more
- Molina Healthcare (Houston, TX)
- …between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state ... lead or support various Provider Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the… more
- Grifols Shared Services North America, Inc (Houston, TX)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Boehringer Ingelheim (Houston, TX)
- …of the Market Access team, this individual will report directly to Director , Access & Reimbursement. The incumbent will implement Specialty Access & Reimbursement ... Strategies to maintain strong and lasting relationships with Health Care Provider Offices, Specialty Pharmacies, Commercial Business units, US Reimbursement and… more