- 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 ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- …Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Health Care Service Corporation (Richardson, TX)
- …for a motivated lawyer to provide counsel relating to complex contracting , including vendor, provider network, producer/customer, and strategic sourcing ... evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and...help advance HCSC's goal of expanding access to quality, cost -effective health care to help people live… more
- Molina Healthcare (Fort Worth, TX)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- Molina Healthcare (Fort Worth, TX)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network… more
- Health Care Service Corporation (Richardson, TX)
- …in your professional development. **Job Summary** This position is responsible for provider recruitment and contracting , education of providers, and for ongoing ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Elevance Health (Grand Prairie, TX)
- …is granted as required by law. **Position Overview:** Leads and manages multiple cost of care initiatives enterprise wide (eg local, within each state, ... **How You Will Make an Impact:** + Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network… more
- Molina Healthcare (Fort Worth, TX)
- …all line of business. * Oversees national network management and operations provider contracting strategies - identifying specialties and geographic locations to ... including government-sponsored health plans. * Experience with various managed health care provider compensation methodologies, primarily across Medicaid and… more
- Molina Healthcare (Fort Worth, TX)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- Health Care Service Corporation (Richardson, TX)
- …**Job Summary** This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of ... and maintaining relationships with providers. This role will also provide support for complex hospital and physician contracting...and at least one year experience developing and negotiating provider contracts OR 5 years managed care … more
- Health Care Service Corporation (Richardson, TX)
- …departments including but not limited to: Finance, Risk Management, Operations, Contracting , Provider Relations, Health Services, Product, Clinical, and local ... meaningful business focused presentations to our matrix partners and provide a clear and concise interpretation of the analysis...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Health Care Service Corporation (Richardson, TX)
- …all the markets. Collaborating with several cross-functional teams, strategies, network contracting , provider operations and actuarial analytics needs for the ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Fortive Corporation (Dallas, TX)
- …For you, for us, for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data, software and services for all ... data and software. Primary responsibility for Gordian Account Managers is to provide support, training, for products and services centered around Job Order … more
- Texas Health Resources (Arlington, TX)
- …such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and precertification experience with ... Develops and oversees the implementation of policies, procedures, and standards that provide structure for care transition management. Participates in the… more
- Vistra (Irving, TX)
- …supplies and services, in accordance with established category strategies and contracting practices across assigned company operations. The position will report to ... execution, and maintenance over the contract term. **Key Accountabilities/Responsibilities** Contracting *Conduct/support supplier negotiations, including commercial and legal terms.… more
- Molina Healthcare (Fort Worth, TX)
- …health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- Molina Healthcare (Fort Worth, TX)
- …health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- Molina Healthcare (Fort Worth, TX)
- …management standardization, and cost -effective quality outcomes in a managed care environment. Contributes to overarching strategy to provide quality and ... for multi-state licensure. 5 years in behavioral health-specific managed care leadership. + Experience with value-based contracting , fraud/waste/abuse… more
- Molina Healthcare (Fort Worth, TX)
- …senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations ... in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- CDM Smith (Fort Worth, TX)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more