- Elevance Health (Houston, TX)
- **JR177058 Provider Network Manager** The Provider Network Manager develops the provider network through contract negotiations (language and ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- Vatica Health (TX)
- The Provider Network Representative is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... service relationships with all participants (physicians and administrators) of a provider network . + Analyze data related to practice/physician participation,… more
- Humana (Austin, TX)
- …work with internal and external constituents on all areas of contracting; network management; adequacy and gaps; provider education; conflict resolution; claim ... of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other… more
- Molina Healthcare (Austin, TX)
- …matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining ... positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing...5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and… more
- Health Care Service Corporation (Richardson, TX)
- …in your professional development. **Job Summary** This position is responsible for provider recruitment and contracting, education of providers, and for ongoing ... provider service. Ability and willingness to travel within assigned...and products; claims processing systems. + Demonstrated proficiency in provider reimbursement methods. + Demonstrated ability to meet deadlines… more
- Molina Healthcare (Austin, TX)
- …requirements. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business ... requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery. **JOB… more
- Molina Healthcare (Dallas, TX)
- …and reports to meet internal/external standards. * Assists with ongoing enterprise-wide provider network development and the education of contracted network ... and strategic goals are realized. * Ensures appropriate cross-departmental communication of provider network initiatives and contracted network provider… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and routine… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network … more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
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