- Molina Healthcare (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
- CVS Health (Austin, TX)
- …heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their ... provider network performance and strategies. This is...a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial… more
- Highmark Health (Austin, TX)
- …marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet… more
- Centene Corporation (Houston, 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
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment (submitting of ... applications) of both the Provider Groups and individual providers with the various government...providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities… more
- Cognizant (Irving, TX)
- … provider organizations to create strategic opportunities Maintain a robust network of healthcare provider executives, industry thought leaders, and ... Proven track record of originating and closing $50M+ deals within the healthcare provider industry Extensive network of relationships with healthcare provider… more
- The Cigna Group (Fort Worth, TX)
- …plays a key role in ensuring the accuracy, completeness, and timeliness of provider network data required for regulatory approval and compliance. **Primary ... with multiple matrix partners and compiling, formatting, and validating provider network data for DOI and CMS..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Cisco (San Antonio, TX)
- …end-to-end network design. + In-depth understanding of Cisco Service Provider portfolio, including Datacenter, Service Provider Route/Switch, AI Ready ... Cisco Service Provider Solutions Engineer Apply (https://jobs.cisco.com/jobs/Login?projectId=1444163) + Location:Offsite, San Jose, California, US + Alternate… 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...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Molina Healthcare (San Antonio, TX)
- …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more