- Elevance Health (Grand Prairie, TX)
- **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for...improving the quality of care, and increasing member and provider network satisfaction. **How you will make… 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
- Elevance Health (Grand Prairie, TX)
- …be considered for employment, unless an accommodation is granted as required by law_ The Network Services and Programs, Provider Network Mgr develops the ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- CVS Health (Austin, TX)
- …**HRP (Health Rules Payor)** is required - Project Management - Basic understanding of Provider Contracting is required - Experience with EXCEL and working with ... and providers. By working closely with other areas of the company such as Network , Provider Data Services, Next Gen Provider Contract/Pricing team, Business… 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 ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Molina Healthcare (San Antonio, TX)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… 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 ... quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and… more
- CVS Health (Austin, TX)
- …behavioral health providers and facility types - Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- Elevance Health (Grand Prairie, TX)
- …responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- Integrative Emergency Services (Dallas, TX)
- … Groups (Rosters) with the various government and insurance healthcare payors and network managed care contracting plans. Will be responsible for gathering and ... Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to liaison with our RCM vendors...systems and ensuring smooth and timely initial and ongoing network participation of the Physician Groups in the various… more
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