- Elevance Health (Houston, TX)
- …** The Provider Network Manager develops the provider network through contract negotiations (language and rates), relationship development, ... **JR177058 Provider Network Manager...the network . + Ability to identify and address network gaps effectively. + Experience with contract and… more
- Molina Healthcare (Austin, TX)
- …that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider… more
- Elevance Health (Grand Prairie, TX)
- …impact on the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... **JR177060 Provider Relationship Account Manager ** Responsible for...and resource expert regarding provider issues impacting provider satisfaction and network retention; researches, analyzes,… more
- Molina Healthcare (Austin, TX)
- …region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on ... effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician… more
- Prime Therapeutics (Austin, TX)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager ... pharmacy contracting, compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also… more
- Centene Corporation (Austin, TX)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- CVS Health (Austin, TX)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... build collaborative relationships with providers and work cross-functionally to resolve complex provider contract issues. + Highly organized and able to… more
- Sedgwick (Austin, TX)
- …be considered in lieu of a degree. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent combination of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Contract Manager II **PRIMARY PURPOSE** : To...administers provider contracts. + Develops and expands provider participation within the network . + Documents… more
- Elevance Health (Grand Prairie, TX)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... aspects of the contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals. + Supports a full… more
- Molina Healthcare (San Antonio, TX)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more