- Christus Health (Irving, TX)
- Description The following information aims to provide potential candidates with a better understanding of the requirements for this role. Summary: The RN Navigator ... interventions. The RN Navigator will work collaboratively with ACO and CIN Network providers, patients, and their families across CHRISTUS Health ministries to… more
- Christus Health (Irving, TX)
- …prioritizes patients with the market leaders who benefit the most from care management programs. Quality Improvement: Participate in and lead quality ... Navigator Population Health Senior will work collaboratively with ACO and CIN Network providers, patients, and their families across CHRISTUS Health ministries to… more
- The Association of Technology, Management and Applied… (Harlingen, TX)
- …Opportunity- Harlingen, TX / Valley Baptist Medical Center, Harlingen Valley Baptist Physician Network is seeking a Neurosurgeon to join our team in Harlingen, TX! ... a big impact in the community! Valley Baptist Physician Network is one of the largest multispecialty groups in...hospitals in Harlingen and Brownsville, is the leading healthcare provider in the Rio Grande Valley. Both hospitals have… more
- Humana (Austin, TX)
- …to work with internal and external constituents on all areas of contracting; network management ; adequacy and gaps; provider education; conflict resolution; ... 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 (Dallas, TX)
- …for enterprise network management and operations activities including network development, network adequacy, and provider training and education. ... and contracted providers within the Molina network . Responsible for network management including provider education, communication, satisfaction, issue… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... network . They are responsible for the provider training, network management and...occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct… more
- Molina Healthcare (Dallas, TX)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract, network development and management , or… more
- Centene Corporation (Austin, TX)
- …Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic ... of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations.… 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 ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Leidos (Abilene, TX)
- …(switches, routers), software (operating system), network management systems, network access control (NAC), quality of service (QoS), network ... and have at a minimum an Active Secret clearance. **Primary Responsibilities** + Provide overall network engineering support for a broad range of programs… more
