- Elevance Health (Houston, TX)
- ** Provider Network Contracting &...projects with significant impact. * May assist management in network development planning. * May provide work ... office). Ideal candidates must live within 50 miles of a PulsePoint location. The ** Provider Network Contracting & Development Director** develops the … more
- The Cigna Group (Plano, TX)
- …integral member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to ... in Houston, San Antonio, Dallas or Plano** The **Director, Provider Contracting - Medicare** serves as an...management of the fee for service and value based contracting and network management activities for multiple… more
- The Cigna Group (Houston, TX)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... be based in Houston, Austin or San Antonio, TX** ** PROVIDER CONTRACTING ADVISOR** This position serves as...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Houston, TX)
- …what it takes to succeed in healthcare network development and provider (ie, physicians and hospitals) contracting . Throughout this multi-week program, ... **The Cigna Group Sales and Contracting Development Program** ** Network Contracting...of provider networks.** Support strategic positioning for provider contracting , assist in the development of… more
- The Cigna Group (Plano, TX)
- …Network Track to onboard The Cigna Group's next generation of client and provider facing **Sales and Network Professionals.** **As a Sales Track associate, ... **The Cigna Group Sales and Contracting Development Program** **Sales Associate** **Start Date July...Dental, and Supplemental businesses** _._ Our training program will provide you with an in-depth understanding of what it… more
- Elevance Health (Houston, TX)
- ** Provider Network Manager Sr**...and a minimum of 5 years of experience in contracting , provider relations, provider servicing; ... of one of our Elevance Health PulsePoint locations. The ** Provider Network Manager Sr** develops...and servicing. The primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Elevance Health (Grand Prairie, TX)
- …development), provider relations, provider servicing, health plan network implementations; experience must include prior contracting experience; or any ... ** Provider Network Management Director** **Location:** This...and federal regulatory requirements are met by the constructed network . Works collaboratively with local contracting teams… more
- Elevance Health (Grand Prairie, TX)
- …1 day per week and work 4 days virtually .** **Develops the provider network through contract negotiations (language and rates), relationship development, and ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Molina Healthcare (Port Arthur, TX)
- … Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... Harris or Jefferson County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network … more
- Humana (Austin, TX)
- …a division of the Provider Contracting Loading (PCL) Team within the Provider Network Operations area under Provider Process & Services. In this ... adjacent PNO teams with laser focus on Quality. The Manager , Provider Installation key responsibilities include but...environment + Provider Experience related to data, contracting , network , and/or claims + Professional experience… more
- Prime Therapeutics (Austin, TX)
- …Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations is responsible for leading and managing a Provider ... and efficiency of customer service to members, providers and clients. The Manager of Provider Relations works in collaboration with leaders throughout… more
- CenterWell (Dallas, TX)
- …meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The Network Development MSO Sales Lead will ... we cant wait to meet you! **Key Responsibilities** The ** Network Development MSO Sales Lead** recruits local provider...**Requirements** + A minimum of seven years experience in provider engagement and/or provider contracting … more
- Elevance Health (Grand Prairie, TX)
- …is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations, while focusing efforts on lowering claims costs, ... improving the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. * Educates provider contractors on contracting analytics from a… more
- CVS Health (Austin, TX)
- …of provider networks as they pertain to Medicaid products ( contracting , adequacy, value-based payment models) + Previous Network experience **Education** ... position will oversee and manage complex projects in support of Government Programs Network team's process, operations, and strategy as it relates to alignment with… more
- Elevance Health (Grand Prairie, TX)
- …responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- Elevance Health (Grand Prairie, TX)
- …Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- Integrative Emergency Services (Dallas, TX)
- …and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities ... Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment (submitting of… more
- Elevance Health (Denison, TX)
- …to business and system requirements of customers as it pertains to contracting , network management, and credentialing. **Minimum Requirements** + Requires a ... **SCA Provider Enrollment Representative I** **Locations:** This is a...or any combination of education and experience, which would provide an equivalent background. + **_This position is part… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** Responsible ... and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime Therapeutics organization to… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager - Vendor Performance NC Medicaid - Remote **Job Description Summary** Responsible ... and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime Therapeutics organization to… more