- Molina Healthcare (Houston, TX)
- …Remote and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... management plans. **Job Duties** Manages the Plan's Provider Relations functions and team members. Responsible...provider inquiries. * In conjunction with the Director, Provider Network Management & Operations,… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Centene Corporation (Austin, TX)
- …required. MBA or MHA degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed ... everything for our 28 million members. **Position Purpose:** Oversee provider network and contracting related activities. Lead...Assist health plan CEO and/or COO vendors in key provider relations and strategy + Performs other… more
- Cardinal Health (Austin, TX)
- …data needs and execute updates when required + Report results and outcomes of network status to management at regular intervals + Respond to third party/managed ... **_Responsibilities:_** + Maintain up to date credentials for entire network of participating health plans + Cultivate and maintain...care requests in a timely manner + Provide existing customers and third-party vendors with the best… more
- Elevance Health (Houston, TX)
- …and adaptable workplace. Alternate locations may be considered. **Develops the provider network through contract negotiations, relationship development, and ... other key areas or serve on enterprise projects around network management . + May collaborate with sales...and a minimum of 5 years' experience in contracting, provider relations , provider servicing; experience… more
- RailPros Field Services (Irving, TX)
- Who WE are: RailPros is the premier provider of engineering and diversified safety services to America's rail and transit industry. Driven by a passion for our ... passengers, and partner companies. We do more than just provide services - we are constantly innovating and staying...journey! Job Summary: The Associate Vice President - Strategic Relations is responsible for managing the accounts of our… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Consultant Relations Principal - Remote **Job Description** The Consultant Relations Principal ... improved win rates, and greater account retention. **Responsibilities** + Network , establish and maintain trusted, strategic partnerships, with key customers,… more
- CVS Health (Austin, TX)
- …direct industry experience negotiating provider contracts and/or provider relations . - Strong understanding of health care network product spectrum and ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...unique opportunity to work directly with plan sponsors, account management , local/ national network , clinicians and analysts… more
- Centene Corporation (San Antonio, TX)
- …years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management , or clinical ... Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic… more
- The Cigna Group (Fort Worth, TX)
- … provider network data. + Collaborate with internal teams (eg, provider relations , credentialing, IT) to ensure current and complete data. + Maintain ... plays a key role in ensuring the accuracy, completeness, and timeliness of provider network data required for regulatory approval and compliance. **Primary… more