- Elevance Health (Grand Prairie, TX)
- …Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... as required by law_ The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Centene Corporation (Austin, 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
- Molina Healthcare (Fort Worth, TX)
- …negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and … more
- The Cigna Group (Houston, TX)
- ** Provider Data Management Analyst** Are you ready to make a difference in healthcare analytics? Join our Market Analytics, Pricing & Solutions team as a Provider ... Analyst and help drive innovation, accuracy, and compliance in provider data management. If you thrive on solving complex...and compliance. + Lead monthly review sessions with the contracting team to ensure the best line of sight… more
- CVS Health (Austin, TX)
- …**About the Role** We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. In this ... and ensures the delivery of high-quality internal and external Medicaid provider audit results, regulatory compliance activities, and proactive risk mitigation… more
- Health Care Service Corporation (Richardson, TX)
- …allowed spend, though this Leader and their team will be responsible for contracting all medical agreements across these markets. The role is responsible for market ... Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with… more
- Health Care Service Corporation (Richardson, TX)
- …for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and ... administration experience in clinical and financial settings, with direct provider communication experience. *Effective interpersonal, analytical, presentation and communication… more
- Rubrik (Austin, TX)
- …sales leadership and their sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and new prospects + Manage MSP ... specific pricing models + Onboard new partners with contracting through Rubrik and Distribution partners. + Enable MSP's...opportunities + Co-sell and strategize with MSP partners + Provide Rubrik, Inc. management with feedback about the local… more
- The Cigna Group (Houston, TX)
- …TX** The **Hospital/Physician/Ancillary Contract Negotiator** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider ... in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
- Air Education and Training Command (Goodfellow AFB, TX)
- …The primary purpose of this position is: To serve as the supervisory contracting officer with warrant authority for an operational contracting base operations ... activities of the Acquisition Flight which include the full range of contracting support to installation organizations as assigned by the Squadron Commander. Ensures… more