- Molina Healthcare (Dallas, TX)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** ... to ensure accurate reporting of the Provider Network across the enterprise. Validate data on...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- CVS Health (Pearland, TX)
- …representatives. The position ensures the development and maintenance of successful Provider relationships, drives Network Performance, and supports strategic ... Regulatory reviews. + Ensures accurate and ongoing reconciliation of provider records to maintain data integrity. +...to 7 years of recent Managed Care experience in Network / Provider Engagement + Employee Supervision with… more
- Molina Healthcare (Fort Worth, TX)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider Services/ Provider… more
- Molina Healthcare (Houston, TX)
- …data from the provider network for entry into the plan's provider management system. + Reviews/analyzes data by applying job knowledge and ... and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- Molina Healthcare (Dallas, TX)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Job Description** **Job Summary** Provider Network Administration is responsible for...experience * QNXT; SQL experience * Crystal Reports for data extraction * Access and Excel - intermediate plus… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** **The Medicaid Senior Manager, Network Management :** * Negotiates, executes, conducts high level review and ... contracting, provider issues/resolutions, related systems and information contained. * Provide guidance and share expertise to others on the team. *… more
- Molina Healthcare (Houston, TX)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... functions. * Directs the development, implementation and maintenance of provider data in the claims payment system....and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with… more
- Health Care Service Corporation (Richardson, TX)
- …of a purpose-driven company that will invest in your professional development. The Provider Contracting & Network Adequacy Manager is responsible for managing ... project management for large scale negotiations, analyzing and reporting data , and effectively documenting information in preparation for internal audits. The… more
- Meta (Fort Worth, TX)
- …Backbone, Optical, and Data Center) as well as our content delivery network (CDN) across the globe. With the introduction of our open networking hardware ... or Fort Worth, data centers. **Required Skills:** Data Center Network Engineer, Intern Responsibilities: 1....environment 11. Ability to pick up new concepts around network design and management 12. Detail oriented… more
- 7-Eleven (Irving, TX)
- Senior Data Scientist- Network Design Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/Senior- Data ... multifaceted organization that relies on innovative, effective supply chain management and distribution to make sure the right products...data . * Participate in design and implementation of network design/ data science models and algorithms… more
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