- 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
- Molina Healthcare (Fort Worth, TX)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... keeps executive leadership apprised. * Leads analysis of medical care cost and utilization data. * Leads...that interface with the segment including medical management, network contracting and provider relations, member services, claims… 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
- Vistra (Irving, TX)
- …to the business through supplier service level, reliability, demand and strategic cost improvements. The Associate Category Manager will demonstrate the ability to ... for key categories. *Collaborate effectively, deliver timely information and provide recommendations *Develop and maintain key stakeholder relationships to ensure… 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
- 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
- JPMorgan Chase (Plano, TX)
- …optimal customer experience. JPMorgan Chase seeks to do business with suppliers who provide the best price, quality, and capability to meet our business needs. ... goods and services can be obtained by our employees in an efficient and cost -effective manner globally. As a Category Manager in Marketing (Agency Media) within our… 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
- Molina Healthcare (Fort Worth, TX)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. + Assist ... interpolation, and other statistical methodologies to predict future trends in cost , utilization, and performance. + Assist with research, development and completion… more