- Molina Healthcare (TX)
- …is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ... requirements of internal customers as it pertains to other provider network management areas, such as ...pertaining to department functions. * Produces reports related to provider network information . * Collaborates with local… more
- CVS Health (Austin, TX)
- …as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. ... - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs… more
- MD Anderson Cancer Center (Houston, TX)
- Position Title: Advanced Practice Lead Care Manager askMDAnderson Department: Clinical Programs askMDAnderson Division: Patient Experience Reports to: APP Clinical ... Manager *Shift Hours*: 19 hours per week. Saturdays, 9:00am...purpose of the Clinical Programs of askMDAnderson is to provide transitions in care and after-hour triage via phone… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. About the Role: Join Aetna's Network Management team as a Contract Negotiator and play a key role in building and maintaining ... a high-performing provider network. You'll leverage your negotiation skills and analytical...and externally. + Experience with value-based contract negotiation or management is a plus. + Location: Candidates residing in… more
- Elevance Health (Houston, TX)
- …offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs ... analytics. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Provider Experience Consultant **Location(s):** + 5959 Corporate Dr., Suite 1300,… more
- AECOM (Dallas, TX)
- …experience and/or education For Manager : + Bachelor's degree in Business, Management Information Systems, Accounting, Computer Science or IT related fields ... **Qualifications** **Minimum Requirements:** For Supervisor: + Bachelor's degree in Business, Management Information Systems, Accounting, Computer Science or IT… more
- Ally (Austin, TX)
- **General information ** **Ref #** 20191 **Remote?** No **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... too? **The Opportunity** Reporting to the Ally Recovery Operations Manager , this role is responsible for overseeing the performance...Be the face of Ally to our Legal Service Provider Vendor network * Applies knowledge of enterprise goals,… more
- Entergy (The Woodlands, TX)
- …candidates for work visas for this position. **Job Segment:** Project Manager , Compliance, Contract Manager , Law, Risk Management , Technology, Legal, Finance ... of project safety and quality. Works directly with Construction Manager to ensure project is delivered with cost and...with cost and schedule certainty. Manages risks and risk management issues to ensure risks are identified and mitigated.… more
- Entergy (The Woodlands, TX)
- …Place Flexibility:** Onsite **Legal Entity:** Entergy Services, LLC **Job Summary/Purpose** The Sr. Manager , Project Management is a leader and a subject ... over a several billion-dollar capital project portfolios in a matrixed environment. Will provide support Project Management and Controls practices of all stages… more
- Elevance Health (Grand Prairie, TX)
- …DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific ... experience; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experience:** +… more