- 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 ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Health Care Service Corporation (Richardson, TX)
- …of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value provider partners are ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Molina Healthcare (Fort Worth, TX)
- …service area.). **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Dallas, 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 (Austin, TX)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (San Antonio, TX)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- The Cigna Group (Galveston, 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
- Planate Management Group LLC (Dallas, TX)
- …and cost structures + Experience producing competitive commercial estimates and assessing cost risks. + Familiarity with contract terms, cost realism, ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- CVS Health (Austin, TX)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... build collaborative relationships with providers and work cross-functionally to resolve complex provider contract issues. + Highly organized and able to… more
- RTX Corporation (Mckinney, TX)
- …Managed by Collins Aerospace** We are currently seeking an experienced **Principal Program Cost Controls Analyst** to join our team at our McKinney, TX facility. ... local government agencies are an additional benefit. **What You Will Do** + Provide effective financial administrative planning and control on fixed price and … more