- Molina Healthcare (TX)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- Molina Healthcare (Fort Worth, TX)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… more
- The Cigna Group (Houston, TX)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Centene Corporation (San Antonio, TX)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Molina Healthcare (TX)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Molina Healthcare (Houston, TX)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- Jefferson Dental and Orthodontics (Fort Worth, TX)
- …Through our hands-on world class mentorship program, our Hygienists grow to provide comprehensive care to patients, maximizing their clinical, professional, and ... scanners, Overjet AI, Hygiene Lasers (we cover the certification cost ) + Training & Advancement with CEs included and...them achieve optimal oral health. Our commitment to comprehensive care , provider empowerment, and innovative technology has… more
- CVS Health (Austin, TX)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract … more
- Vistra (Tatum, TX)
- …resources needed to complete the job in the safest, most efficient, and cost effective manner. **Job Description** **Key Roles & Responsibilities** Other duties may ... be performed for a specific job. + Planner will arrange, coordinate, provide direction, and directly supervise contracting work forces.The Planner will be… more
- Robert Half Finance & Accounting (Austin, TX)
- …financial operations and driving data-informed decisions that contribute to high-quality patient care . What You'll Do: + You'll manage cost accounting functions ... Description Job Title: AP Cost Accountant Location: Central Texas (Healthcare Organization) Join...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more