- Elevance Health (Grand Prairie, TX)
- **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... unless an accommodation is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst Senior** is responsible for providing analytical… more
- Deloitte (Austin, TX)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... Deloitte Consulting LLP's QRM group is seeking a Risk Manager with extensive experience in supporting complex deals and...are described in detail below. + Deal Desk Support, Contracting , and Negotiations + Assist with deal desk and… more
- Deloitte (Houston, TX)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... Consulting LLP's Quality and Risk Management group is seeking a Risk Manager with extensive experience in supporting deal and contract structuring, drafting… more
- Elevance Health (Houston, TX)
- …internal and external issues related to VBC partnerships, including provider /vendor engagement, performance measurement, and outcomes-based contracting ... **Value-Based Contracting Director** This role requires associates to be...and external issues on an ad hoc basis, including provider collaboration challenges, performance disputes, and implementation concerns. +… more
- Elevance Health (Grand Prairie, TX)
- …Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... as required by law_ The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals,… more
- Centene Corporation (Austin, 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
- Health Care Service Corporation (Richardson, TX)
- …allowed spend, though this Leader and their team will be responsible for contracting all medical agreements across these markets. The role is responsible for market ... Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with… more
- Elevance Health (Grand Prairie, TX)
- …the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects… more
- Prime Therapeutics (Austin, TX)
- … Manager Rebate Contract Management - Remote **Job Description** The Manager of Rebate Contract Management oversees contracting , rate generation, reporting, ... Procedures (SOPs) for each State process to support audit process * Provide oversight and direction for contract tracking, execution, rate generation, reporting, and… more