- The Cigna Group (Austin, TX)
- …**market** - **Candidate will be required to live in the Houston, TX area** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Health Care Service Corporation (Richardson, TX)
- …purpose-driven company that will invest in your professional development. The Provider Contracting & Network Adequacy Manager is responsible for managing ... and maintaining harmonious working relationships with assigned providers; managing provider agreement negotiation operations; managing staff including but not… more
- CVS Health (Austin, TX)
- …sit anywhere in the United States.** **Required Qualifications** * 5+ years of network contracting /management experience. * Ability to travel as needed (up to ... all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level review… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- CVS Health (Austin, TX)
- …with external questions on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy ... And we do it all with heart, each and every day. As a Senior Manager , you will play a key role in executing the organization's strategy initiatives for Medical… more
- Molina Healthcare (Houston, TX)
- …to regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as an expert in handling ... business and system requirements of customers as it pertains to contracting , network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Establish and… more
- Centene Corporation (Lubbock, 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
- CVS Health (Austin, TX)
- …Negotiator and play a key role in building and maintaining a high-performing provider network . You'll leverage your negotiation skills and analytical expertise ... for specific medical cost initiatives. Required Qualifications: + 3+ years of provider contracting and relationship experience, including contract language, rate… more
- CVS Health (Austin, TX)
- …and/or cross-functional large-scale initiatives with high complexity. + Familiarity with network contracting and value-based arrangements + Possesses sound ... it all with heart, each and every day. **Position Summary** The Sr Manager , Resources for Living (RFL) Partnership Management is responsible for leading and… more
- CenterWell (Dallas, TX)
- …A minimum of five years experience in provider network development, provider engagement and/or provider contracting + Must have extensive value-based ... meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The MSO Channel Development Lead will be the… more