- Molina Healthcare (Dallas, TX)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Fort Worth, TX)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider … more
- Molina Healthcare (Houston, TX)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... network for entry into the plan's provider management system. + Reviews/analyzes data by...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (TX)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Job Description** **Job Summary** Provider Network Administration is responsible for...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- The Cigna Group (Houston, TX)
- …- **Candidate will be required to live in the Houston, TX area** The **Manager, Provider Contracting Network Management ** serves as an integral member of the ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
- Molina Healthcare (Houston, TX)
- …outreach and resolving provider inquiries. * In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific ... staff are the primary point of contact between Molina Healthcare and contracted provider network ...., corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job… more
- Molina Healthcare (TX)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (Fort Worth, TX)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (Austin, TX)
- …and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- HCA Healthcare (San Antonio, TX)
- …and additional related components (as listed for this position). The candidate must provide solutions that meet HCA network requirements and maintain networking ... written and oral communications skills regarding presentations, technical white papers, and network proposals will be required. Project management and problem … more