- Elevance Health (Grand Prairie, TX)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Elevance Health (Grand Prairie, TX)
- …office. **Position Overview:** Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider ...modifications as applicable + Recommends standardized practices to optimize cost of care + Educates provider… more
- Molina Healthcare (Dallas, TX)
- …Duties** This role negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and ... of medical group/IPA and hospital contracting. * Identified as contract system lead by developing and maintaining provider...: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider… more
- Molina Healthcare (Dallas, TX)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Molina Healthcare (Dallas, TX)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Vistra (Irving, TX)
- …Indicators (KPIs) are met. **Job Description** **Key Accountabilities** *Supervise, train, and provide guidance to the retail contract management team at Sierra ... Summary** This position entails overseeing all operational activities related to Retail Contract Management for the Large Business Markets customer base within the… more
- Planate Management Group LLC (Dallas, TX)
- …and cost structures + Experience producing competitive commercial estimates and assessing cost risks. + Familiarity with contract terms, cost realism, ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- CVS Health (Irving, TX)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The Manager, Legal Contract Management will be responsible for carrying out reviews of general contracts to… more
- Baylor Scott & White Health (Dallas, TX)
- …to internal business needs and external supply markets that can impact contract performance for assigned spend categories, and suggests modifications to sourcing ... required by the business. Drives performance that results in year over year cost reductions through the standardization of products and pursuit of best possible… more
- Jefferson Dental and Orthodontics (Dallas, TX)
- …Through our hands-on world class mentorship program, our Hygienists grow to provide comprehensive care to patients, maximizing their clinical, professional, and ... scanners, Overjet AI, Hygiene Lasers (we cover the certification cost ) + Training & Advancement with CEs included and...them achieve optimal oral health. Our commitment to comprehensive care , provider empowerment, and innovative technology has… more
- Molina Healthcare (Dallas, TX)
- …standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost -effective member care . Essential ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more… more
- AdventHealth (Mansfield, TX)
- …role utilizes nursing skills in assessment, planning, implementation, and evaluation to provide competent, compassionate, and cost -effective care . In ... 24 hours a day, 7 days a week to provide spiritual support. + Help develop a brand new...**The role you'll contribute:** Responsible for delivering coordinated nursing care to patients within a patient care … more
- Fresenius Medical Center (Dallas, TX)
- …planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships ... with managed care organizations and other third party payors regarding rate...establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments.… more
- Molina Healthcare (Dallas, TX)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Molina Healthcare (Dallas, TX)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Molina Healthcare (Dallas, TX)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Dallas, TX)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Texas Health Resources (Arlington, TX)
- …ambulatory surgery centers, imaging centers, urgent care , home infusion, virtual care , physicians, and other provider types to develop pricing strategies. ... industry benchmarks, payor contracts, financial performance, profitability of service lines, and cost of care to drive pricing decisions and identify… more
- BrightSpring Health Services (Irving, TX)
- …inventory and patient care operations to ensure high-quality patient care and excellent customer service while maintaining cost -effective practices. + ... and an industry shift from hospital delivery settings to lower- cost , high-quality alternative providers such as Amerita. Amerita, Inc....providers such as Amerita. Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for… more