- 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
- CVS Health (Austin, TX)
- …is accountable for the strategic alignment, operational success, and performance management of assigned provider relationships with the most complex/high ... value initiatives and/or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value-based contract… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- CBRE (Austin, TX)
- Director of Compliance and Privacy, Industrious Job ID 241323 Posted 22-Oct-2025 Service line Corporate Segment Role type Full-time Areas of Interest Legal ... America **About the Role:** CBRE, Inc is seeking a Director of Compliance and Privacy to establish and oversee...programs for CBRE's business segment, Industrious, a leading workplace provider for companies of all sizes and stages. Industrious… 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
- 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
- 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
- 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)
- …License without encumbrances or willing to obtain a Texas License. In the Medical Director role you will provide oversight for medical policy implementation. You ... Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well… 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
- WM (Austin, TX)
- Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly ... industrial and municipal markets throughout North America through a network of collection operations, transfer stations, landfills, recycling facilities and… more
- Merck (Austin, TX)
- …plans in partnership with Precision Medicine Health Systems Oncology Medical Affairs Director (PM HSO-MADs), oncology account management , and precision medicine ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with… more
- Cushman & Wakefield (Austin, TX)
- … Management . **Job Description** **Essential functions and responsibilities** + Provide engineering support and oversight in Data Center environments, ensuring ... **Job Title** Director , Engineering **Job Description Summary** The Director...and capital replacement projects + Establish and maintain a network of consultants/pre-qualified service providers to provide … more