- 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)
- …Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering ... 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
- Elevance Health (Grand Prairie, TX)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... 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 Qualifications:** + Experience providing… 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...departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… 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)
- …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
- CenterWell (Arlington, TX)
- …performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost -effective utilization ... physician recruitment needs and collaborate in the hiring and contracting of providers. + Plan, organize, manage, and supervise...put patients at the center. As the nation's largest provider of senior-focused primary care , one of… more
- Molina Healthcare (Fort Worth, TX)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... that support ongoing improvements of clinical operations functions and promote quality cost effective health care for Molina members. + Develops initiatives… more
- Molina Healthcare (Fort Worth, TX)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . + Ensures that… 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 ... but not limited to legal and business terms to provide the appropriate level of risk mitigation as well...goals and targets. + Support supplier improvement targets in cost , quality and on time delivery to existing agreements.… more
- Black & Veatch (Fort Worth, TX)
- …aspects of Engineering Procurement Construction (EPC)/Service projects, including risk to cost , schedule, quality + Be responsible for the day-to-day successful ... metrics, planning, schedule, quality, contractual compliance, safety, and client satisfaction + Provide for the successful staffing of the project + Manage and lead… more
- Vistra (Irving, TX)
- …engineering for projects. In collaboration with construction and commissioning teams, provide technical support for EPC pricing and contracting efforts, ... the right way, we work as a team, we compete to win, and we care about our stakeholders, including our customers, our communities where we work and live, our… more