- CommonSpirit Health at Home (The Woodlands, TX)
- …with disabilities. **Where You'll Work** Post Health is part of an expansive health care network that is committed to providing better patient ... compassionate Occupational Therapist to join Post Health Home Health team. The OT will provide skilled therapy services to patients in their home evaluating… more
- Apex Health Solutions (Houston, TX)
- …Degree Experience * Required 3+ years of experience in managed care environment, health plan finance, provider network management or managed care ... relationships with the participating physicians of the Houston based Unity Health Partners Healthcare Collaborative and their office staff. The position assists… more
- CVS Health (Pearland, TX)
- …Incidents. **Required Qualifications** + Minimum of 5 to 7 years of recent Managed Care experience in Network / Provider Engagement + Employee Supervision ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- Elevance Health (Grand Prairie, TX)
- …be considered for employment, unless an accommodation is granted as required by law_ The Network Services and Programs, Provider Network Mgr develops the ... providers in areas with increased competition or where greater provider education around managed care concepts is...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- CVS Health (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...provider issues/resolutions, related systems and information contained. + Provide guidance and share expertise to others on the… more
- Molina Healthcare (Dallas, TX)
- …for purposes of establishing a compliant network of participating Providers to serve the health care needs of the Plan's membership and to meet all state and ... Synchronizes data among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on provider databases and… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... Managed Care Organization's covered employees are provided information on eligibility,...provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE… more
- Health Care Service Corporation (Richardson, TX)
- …and take corrective action as needed 6. Oversee the performance of negotiated health care provider compensation and appropriate reimbursement of medical ... complex reimbursement strategies * Experience proactively developing and maintaining relationships with health care provider leadership teams with propensity… more
- Elevance Health (Grand Prairie, TX)
- …costs, improving the quality of care , and increasing member and provider network satisfaction. + Provides expert advice, analytic and consultative support ... ** Provider Contract Cost of Care Consult...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Elevance Health (Grand Prairie, TX)
- …claims costs, improving the quality of care , and increasing member and provider network satisfaction. **How you will make an impact:** + Provides expert ... ** Provider Contract Cost of Care Consultant...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more