- CVS Health (Austin, TX)
- …every day. **_**Candidate must reside in Texas**_** **Position Summary** + The Lead Director , Provider Engagement manages and oversees compliance with our ... representatives. The position ensures the development and maintenance of successful Provider relationships, drives Network Performance, and supports strategic… more
- Molina Healthcare (Austin, TX)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Austin, TX)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Austin, TX)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Evolent (Austin, TX)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- CVS Health (Austin, TX)
- …peers to ensure alignment across the broader platform strategies and capabilities. + Provide change management rigor to ensure smooth transitions for end users ... We are recruiting to fill a critical leadership position on the Network Platform Solutions team. The role will have responsibility for identifying, understanding,… more
- Datavant (Austin, TX)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Centene Corporation (Austin, TX)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as appropriate. + ... fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality… more
- Molina Healthcare (Austin, TX)
- …system lead by developing and maintaining provider contracts in contract management software. * Supports network development throughout state to including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This… more
- Merck (Austin, TX)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Austin, TX)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Austin, TX)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- WuXi AppTec (Austin, TX)
- …certain assigned customers with significant growth opportunity, as assigned by management . The Senior Director Business Development closes and implements ... business and accounts in the assigned region. The Senior Director Business Development drives sales growth in close coordination...effective ways + Work with senior leadership during crisis management . + Identify and network with stakeholders,… more
- Highmark Health (Austin, TX)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Sumitomo Pharma (Austin, TX)
- …the design and execution of program operations, systems, metrics, and HUB vendor network . The Director will work closely with key stakeholders including the ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient… more
- Humana (Austin, TX)
- …productivity, while also driving competitive differentiation in the local specialty marketplace. + Provide input to network leaders to refine network ... caring community and help us put health first** The Director , Employer Group Distribution is responsible for leading a...manage local and sales operations meetings in order to provide sales development, teamwork, market strategies and training to… more
- HCA Healthcare (Georgetown, TX)
- …reservations or limits? Our St. David's Georgetown Hospital team is looking for a(an) Director of Labor and Delivery RN. HCA Healthcare is an advanced healthcare ... network that has committed up to $300 million to our...save lives across the country? Apply today to our Director of Labor and Delivery RN and be a part… more
- Molina Healthcare (Austin, TX)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- Texas State University (San Marcos, TX)
- …Description Texas State University invites applications for the position of Director of theSchool of Social Work (https://www.socialwork.txst.edu/) . The position ... rank and title based on University and departmental established standards. The Director (a 12-month position) is the chief executive officer of the School… more