- 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)
- ** Provider Contract Cost of Care Consultant - VBC** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- ** Provider Contract Cost of Care Consultant** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... The **Value Based Provider Health Econ - Provider Cost of Care Consultant...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… 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 ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… more
- Molina Healthcare (Fort Worth, TX)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- AdventHealth (Mansfield, TX)
- …role utilizes nursing skills in assessment, planning, implementation, and evaluation to provide competent, compassionate, and cost -effective care . In ... **$60hr, 13wk Contract RN ER** Texas Health Huguley and Texas...whole-person health and committed to making communities healthier. + Provide wholistic care for patients that extends… more
- AdventHealth (Burleson, TX)
- …and supervising assigned team members. **The value you'll bring to the team:** Provide care that is consistent with the hospital accountabilities, Standards of ... **$60hr, 13wk Contract RN ER** Texas Health Huguley and Texas...76063 **The community you'll be caring for:** + Our care for patients extend to the spiritual level by… 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 ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...more personal, convenient and affordable. **Position Summary** As a Contract Administrator you will be part of a premier… 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
- Jefferson Dental and Orthodontics (Fort Worth, 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
- AdventHealth (Burleson, TX)
- …and supervising assigned team members. **The value you'll bring to the team:** Provide care that is consistent with the hospital accountabilities, Standards of ... **$60.00/hour - Contract RN M/S Oncology Unit - Nights** Texas...with 1 week of facility orientation.** **MUST HAVE ACUTE CARE EXPERIENCE** **Position and Hourly Rate:** **Registered Nurse (RN):**… more
- AdventHealth (Burleson, TX)
- …11801 South Fwy., Burleson, TX 76028 **The community you'll be caring for:** Our care for patients extend to the spiritual level by praying with patients and ... in the award-winning school district, Burleson ISD which also provides a low- cost of living. **The role you'll contribute:** The Respiratory Therapist performs all… more
- Centene Corporation (Irving, TX)
- … members and their families/caregivers on topics such as preventive care , procedures, healthcare provider instructions, treatment options, referrals, prescribed ... of care and service delivery for long-term care members in a cost -effective manner +...**Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LPC or RN with direct Behavioral… more
- Molina Healthcare (Fort Worth, TX)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Molina Healthcare (Fort Worth, 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 (Fort Worth, 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 (Fort Worth, 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 (Fort Worth, 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
- 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 ... You will perform these tasks in accordance with corporate contract and purchasing policies. In this role, you will...but not limited to legal and business terms to provide the appropriate level of risk mitigation as well… more