- 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, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… 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
- 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
- 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
- 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
- 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
- Acxiom (Austin, TX)
- As the Director , Campaign Management , Retail & Commerce Networks Acxiom's Commerce & Retail Media Network Practice, you will play a critical role in ... channels. In this role, you will focus on yield optimization, campaign management , media activation, and performance reporting, ensuring every campaign is planned… 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
- HCA Healthcare (Round Rock, TX)
- …**Introduction** Do you have the career opportunities as a **Hospital Laboratory Director ** you want with your current employer? We have an exciting opportunity ... Medical Center** which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** St. David's...Do you want to work as a Hospital Laboratory Director where your passion for creating positive patient interactions… more
- Pfizer (Austin, TX)
- **ROLE SUMMARY** The ** Director , HV&E, Solid Tumors** will support the strategic goals of the Oncology Division by driving optimal patient access for our medicines. ... therapy being studied for the treatment of multiple solid tumors. The HV&E Director will be responsible for developing and executing against the global evidence… 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
- 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
- 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