- Health Care Service Corporation (Richardson, TX)
- …in your professional development. **Job Summary** The Principal Network Management Consultant is responsible for provider recruitment and contracting of ... for assigned territory. responsible for education of providers and for ongoing provider service. provide subject matter expertise to improve efficiencies and… more
- Health Care Service Corporation (Houston, TX)
- …position is responsible for data management and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across ... of experience in the Health Care industry + 2 years of experience with Provider Network contracting and credentialing systems + Written and verbal communication… more
- Molina Healthcare (Fort Worth, 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 (San Antonio, TX)
- …system lead by developing and maintaining provider contracts in contract management software. * Supports network development throughout state to including ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This… 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
- Centene Corporation (Austin, TX)
- …drive strategies and initiatives that support improvements in provider quality , cost-effectiveness, and clinical efficiency. + Provide hands-on PEOM support ... Train associates to interpret and act on financial and quality metrics (eg, HEDIS, STARs) to drive targeted improvement...management or healthcare strategy required In-depth knowledge of provider engagement, network management , and… more
- Elevance Health (Grand Prairie, TX)
- …costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to ... Medical Directors and management on cost of care issues. Supports large scale...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all… more
- Molina Healthcare (Houston, TX)
- …sent as directed by management . * Formats and distributes Provider network resources (eg electronic specialist directory). **Job Qualifications** **REQUIRED ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This… more