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Managed Care Administrator
| Details |
Country: USA
Location: TX Sugar Land
Total applied: 45
Relevant Work Experience: 2+ to 5 Years
Career Level: Experienced (Non-Manager)
Education Level: Master's Degree
Job Type: Employee
Job Status: Full Time
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Managed Care Administrator
Managed Care Administrator
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Are you looking to work for a growing firm that recognizes individual effort and provides opportunities for advancement? Are you looking for a job that presents new challenges and opportunities to grow personally and professionally? If you are, we are interested in meeting you!
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We are a leading national healthcare firm in need of a Managed Care Administrator.? This is a high profile position that reports to the Vice President of Business Services and interacts with the Executive Team and other key operational, client and corporate personnel.
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Primary duties include the following:
???????? Establishes, develops and maintains business relationships through directing the identification, development, and maintenance of all contracts and preferred provider relationships with major healthcare providers.
???????? Renegotiates with providers for language/cost negotiations for individual contracts.? Makes managed care compliance with contracted fees, trending, and resolution of discrepancies.
???????? Creation of adaptable presentations that effectively explain and illustrate the company image, services provided, and contracting and pricing.
???????? Thoroughly explain to corporate personnel contract terms to ensure an understanding of the coverage for which the contract states.?
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Qualifications:
Bachelor?s degree with 3 to 5 years of experience in managed care.? Masters in Health Administration is a plus.? Preference will be given to those candidates who have experience with physician interaction, durable medical equipment, home health, and outpatient managed care.? Experience with insurance companies, contract negotiations, and medical sales is preferred.
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Some of the outstanding benefits our employees enjoy include:Healthcare and Pharmaceutical coverageDental CoverageLong Term DisabilityPaid Vacation, Holidays, Sick Leave401k
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Relocation assistance is provided.
Qualified candidate may submit resume via fax to 281-295-4054 or email to employment @healix.net? Subject: Managed Care Administrator
For more information about Healix, visit our website at www.healix.net
EOE
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