- Centene Corporation (Austin, TX)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** - Maintains the Provider Data (demographic and contractual) for all network and non- network ... Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (ie, directory listings). - Develops… more
- Centene Corporation (Austin, TX)
- …This role will drive strategies and initiatives that support improvements in provider quality, cost-effectiveness, and clinical efficiency. + Provide hands-on ... provider management or healthcare strategy required In-depth knowledge of provider engagement, network management, and performance improvement methodologies… more
- Elevance Health (Grand Prairie, TX)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of… more
- Elevance Health (Grand Prairie, TX)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- World Wide Technology (Dallas, TX)
- …+ Selling to a Tier 1 Service Provider + **Tier 1 Service Provider network architecture and technology including: Enterprise IT (storage, compute, network ... World Wide Technology (WWT) is a global technology solutions provider leading the AI and Digital Revolution. With more...architects, as well as subject matter experts to truly provide expertise and value. The ability to listen, learn… more
- Humana (Austin, TX)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Elevance Health (Grand Prairie, TX)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, eg ... **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:** This role...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Datavant (Austin, TX)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical… more
- Molina Healthcare (Dallas, TX)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's … more