- 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)
- …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)
- …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
- Baylor Scott & White Health (Dallas, TX)
- …The Sourcing and Contracts Manager is responsible for the sourcing and contracting process and supplier management for an assigned portfolio of contracted products ... 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
- 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
- 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
- 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
- HCA Healthcare (Plano, TX)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… 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
- WTW (Dallas, TX)
- …health insurance carrier, managed care organization or another leading health care provider + Deep understanding of HIPAA requirements and general data ... This role is key to Willis Towers Watson's core value proposition to provide data driven, empirically tested solutions employing leading edge tools. **The Role** +… more
- Leonardo DRS, Inc. (Dallas, TX)
- …the daily execution of multiple programs within contract requirements to assure that cost , schedules and performance goals are met. Lead all meetings and the ... integrated product and/or project team (kick-off through project close). Provide interface, communication and coordination with internal and external customers on… more
- Sanofi Group (Dallas, TX)
- …financial risks. The payment of our risk-bearing (RBO) customers is tied to cost -effective care . SANOFI, NORTH AMERICA created this new, VALUE ASSESSMENT LIAISON ... You will be an active contributor of the value-based care transformation, one of the most exiting changes in...of RBOs to efficiently transition conversation from a simple cost of a product to include the product's clinical… more
- Black & Veatch (Dallas, TX)
- …medium to high-risk profiles * Manage multiple pursuits of differing revenue, contracting structures, complexities and schedules at a given time Professionals in ... leadership, while gaining exposure to all client types, delivery methods, contracting models and project risk profiles. Professionals in this role interface… more
- Planate Management Group LLC (Dallas, TX)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... solutions + Coordinate and monitor project tasks to ensure timely and cost -effective delivery + Build and maintain effective working relationships with contractors,… more
- Stantec (Plano, TX)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program ... programs in the areas of overall management and project controls and provide analysis of key performance metrics and program strategies. - Communicating areas… more