- Integrative Emergency Services (Dallas, TX)
- …care contracting plans, and third-party billing entities that require provider enrollment. This position will support operations in states including, but not ... Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment (submitting of… more
- Molina Healthcare (Houston, TX)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more
- Molina Healthcare (Fort Worth, TX)
- …(eg, Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). + Provides timely, accurate ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more
- Molina Healthcare (San Antonio, TX)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- CVS Health (Austin, TX)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... on multiple platforms to assist providers with payment questions. + Educate provider with related information to answer the unasked questions, eg, additional plan… more
- CVS Health (Austin, TX)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups....3+ years contracting for large facilities or provider groups. * Proven working knowledge of competitor strategies,… more
- Deloitte (Austin, TX)
- … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and...the trusted advisor to leaders on multiple accounts. + Provide mentoring and training to Risk Management colleagues and… more
- Medtronic (Houston, TX)
- …the Life** **Careers that Change Lives** The Cranial and Spinal Technologies contracting team is seeking a strategic and results-oriented Aible **Contract Manager** ... to lead the execution of our Aible contracting strategy, including the innovative UNiD platform and other...(http://www.medtronic.com) . It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless… more
- Boehringer Ingelheim (Corpus Christi, TX)
- …as the strategic lead for all activities within an assigned Organized Provider Account, utilizing a cross-functional (Medical, HEOR, Contracting , Sales, ... beneficial B2B relationships with assigned National Account owned/affiliated Organized Provider Account(s), across the portfolio and life cycle, which includes:… more
- Highmark Health (Austin, TX)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more