- 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 (San Antonio, 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 (Austin, 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
- 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 (Dallas, 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
- Centene Corporation (Austin, TX)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Prime Therapeutics (Austin, TX)
- …Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager… more
- Molina Healthcare (Dallas, 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
- RTX Corporation (Mckinney, TX)
- …Managed by Collins Aerospace** We are currently seeking an experienced **Principal Program Cost Controls Analyst** to join our team at our McKinney, TX facility. ... local government agencies are an additional benefit. **What You Will Do** + Provide effective financial administrative planning and control on fixed price and … 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
- Western Digital (Austin, TX)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . + **Negotiation and Contracting :** Lead negotiations with suppliers ... Manages compliance to contracting terms and proactively develops and manages contracting metrics + ** Cost Optimization:** Drive cost -saving initiatives… more
- Highmark Health (Austin, TX)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… 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
- Option Care Health (The Woodlands, TX)
- …us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care , so we are investing in a culture that ... (listed in order of importance and/or time spent)** + Provide comprehensive, hands-on patient care including assessments,...resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than… 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
- Humana (Austin, TX)
- …us put health first** The IT Vendor Management Lead - EMR, Clinical Care Delivery & Home Health Platforms supports strategic suppliers that underpin clinical ... workflows, care delivery systems, electronic health/medical records (EHR/EMR), and home...accountability. + Manage enterprise financials for assigned suppliers including cost optimization, forecasting, ROI, and long-term investment planning. +… 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
- HCA Healthcare (Conroe, TX)
- …medical director services to facility-level physician credentialing, business development, and provider relations in contracting issues. + Provides medical ... on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more