- Intermountain Health (Austin, TX)
- …enrollment is completed timely and accurately. 3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and ... to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives… more
- Molina Healthcare (Austin, TX)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims...provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider … more
- Entergy (The Woodlands, TX)
- …critical in ensuring the performance, security, and scalability of the enterprise data network environment. **Job Duties/Responsibilities** + Own the end-to-end ... network products and services. + Respond as the Data Network representative in an 'on-call' 24x7...but not limited to networking protocols, TCP/IP, DHCP, DNS, network management tools, use of packet capture… more
- Humana (Austin, TX)
- …the dental industry + 4 or more years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + 2 ... such areas as financial performance, incentive programs, quality and clinical management , population health, data sharing, connectivity, documentation and… more
- CVS Health (Austin, TX)
- …**Required Qualifications** * Minimum of 7-10 years in healthcare industry experience, network management , contracting, trend analytics, and/or related field. * ... the region. The incumbent will collaborate closely with the Network 's data and analytics teams to analyze...maximize results. This role is responsible for collaborating with Network teams ensuring competitive provider networks, proactively… more
- Humana (Austin, TX)
- …10% required travel** **Required Qualifications** + 5 or more years of progressive network management experience including hospital contracting and network ... caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. About the Role: Join Aetna's Network Management team as a Contract Negotiator and play a key role in building ... and maintaining a high-performing provider network . You'll leverage your negotiation skills...of escalated issues such as claims, contract interpretation, and provider data accuracy. + Negotiate settlements and… more
- Apex Health Solutions (Houston, TX)
- …* Required 3+ years of experience in managed care environment, health plan finance, provider network management or managed care consulting. * At least ... Initiatives Provider Information and Credentialing; Provider Relations, Account Management & Education; Data Exchange and Integrity; Reimbursement and … more
- Ally (Austin, TX)
- …**The Work Itself** * Be the face of Ally to our Legal Service Provider Vendor network * Applies knowledge of enterprise goals, business environment, and ... drive cost efficiency, operational effectiveness, and profitability across the LSP network . The position also ensures timely legal filings and performance… more
- Koniag Government Services (San Antonio, TX)
- …LLC,** a Koniag Government Services company, is seeking a Senior Configuration Change Management Services ( Cyber Network Security Engineer, Lead) to support KDS ... and strategic direction for the Defense Health Agency's configuration and change management services, with a primary focus on maintaining and enhancing cybersecurity… more
Recent Jobs
-
Principal Automation Engineer, Biopharmaceutical Development
- Eisai, Inc (Exton, PA)
-
Electrician | Nights 6p - 6a | 4 On 4 Off | $34.35 - $41.35 Per Hour
- Crown Cork & Seal USA, Inc. (Medford, MN)
-
Manager II
- BioAgilytix (San Diego, CA)
-
RN Surgery FT Days
- Tenethealth (Fort Mill, SC)