- CVS Health (Austin, TX)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical… more
- CVS Health (Austin, TX)
- …initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- CVS Health (Austin, TX)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team.… more
- Methodist Health System (Dallas, TX)
- …with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + Proof and update ... - Friday **Work Shift :** **Job Description :** **Job Summary:** The Provider Services Coordinator provides administrative support to the Director of Contracting… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise....provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare… more
- CVS Health (Austin, TX)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...medical cost initiatives. Required Qualifications: + 3+ years of provider contracting and relationship experience, including contract… more
- Centene Corporation (Mcallen, TX)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... Webb, Willacy, Zapata **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... serves as the primary point of contact between Molina Health plan and the Provider community that...provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare… more
- Option Care Health (Austin, TX)
- …an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for ... no limit to the growth of your career.** Option Care Health , Inc. is the largest independent... plans and corporate teams, including Managed Markets and Contracting leadership, to review provider agreement performance… more
- Molina Healthcare (TX)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... including min. 2 years of supervisory experience * Min. 2 years health plan Provider Network experience **Required License, Certification, Association** N/A… more