- Molina Healthcare (Houston, TX)
- … Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting , education, outreach… more
- CVS Health (Austin, TX)
- …each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their provider ... as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. The… more
- Centene Corporation (San Antonio, TX)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Integrative Emergency Services (Dallas, TX)
- …care contracting plans, and third-party billing entities that require provider enrollment. This position will support operations in states including, but not ... Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment (submitting of… more
- Molina Healthcare (San Antonio, TX)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- CVS Health (Austin, TX)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct...proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… more
- Boehringer Ingelheim (Corpus Christi, TX)
- …as the strategic lead for all activities within an assigned Organized Provider Account, utilizing a cross-functional (Medical, HEOR, Contracting , Sales, ... AL, LA, GA, MS, OK, AS, NC, SC** The Payor System Account Manager (PSAM) is responsible for proactively creating mutually beneficial B2B relationships with assigned… more
- Stryker (Dallas, TX)
- The Senior Manager , Government Program Solutions will lead the strategy, design, and implementation of a **global compliant contracting policy guidance and ... enhance internal processes** to effectively manage contract terms and conditions. + Provide **subject matter expertise** with minimal supervision and serve as a… more
- Western Digital (Austin, TX)
- …next BIG thing in data. **Job Description** The **Senior Supply Chain Account Manager ** will play a pivotal role in managing key supplier relationships, driving ... and enhance supplier performance. Leadership responsibilities include developing a contracting Center-of-Excellence accountable for driving continuous improvement in … more
- Abbott (Austin, TX)
- …compliance with Medicaid, Medicare, and other relevant regulatory programs, and provide guidance on legislative developments affecting government contracting . + ... Alpharetta, GA)** is looking for a **Contract Strategy & Business Engagement Manager ** **.** This person will spearhead the development, execution, and optimization… more