- Elevance Health (Houston, TX)
- …and adaptable workplace. Alternate locations may be considered. **Develops the provider network through contract negotiations, relationship development, and ... other key areas or serve on enterprise projects around network management. + May collaborate with sales team in...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
- The Cigna Group (Houston, 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
- Deloitte (Houston, TX)
- …and contracting support for scope of work/SOW documents. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... and Risk Management (QRM) group is seeking a Risk Manager with extensive experience in supporting complex deals and...Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider...education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting To all… more
- CVS Health (Austin, TX)
- …with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role,...care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… more
- Molina Healthcare (Houston, TX)
- … Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, … more
- CVS Health (Austin, TX)
- …and/or provider relations. - Strong understanding of health care network product spectrum and contracting methodologies including advanced knowledge of ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...candidate will serve as a subject matter expert on network related performance including contracting methodologies, … 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)
- …and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities ... Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment (submitting of… more
- Centene Corporation (Austin, TX)
- …a related field or equivalent work experience in Network Development, Provider Relations or Value-based / Risk Contracting **Candidate Experience:** Required ... at HMO or PPO). Required 4+ years of experience in HMO provider relations, contracting and network development or large physician/ provider organizations.… more