- PNC (Farmers Branch, TX)
- …* Leverage Kafka for event streaming and MongoDB for scalable NoSQL data solutions . * Design and manage RESTful APIs, and optionally GraphQL, with proper ... concepts into clear, business-friendly language for executive stakeholders. * Provide architectural guidance and mentorship to development teams, promoting best… more
- EDB (Austin, TX)
- …financial services, media and information technology companies. EDB's data-driven solutions enable customers to modernize legacy systems and break data ... and observability. For more information, visit www.enterprisedb.com The **Senior Solutions Architect** is an integral part of the EDB's...to promote a healthy work-life balance and wellness. We provide access to CuraLinc to aid employees in health… more
- The Cigna Group (Austin, TX)
- …will be required to live in the Houston, TX area** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Director, Provider Education develops and leads initiatives, strategies, and processes focused on enhancing ... provider knowledge of Medicare and Medicaid quality and risk-adjustment...lead innovations in education delivery including market optimization technological solutions , novel education vehicles, and appropriate engagements with … more
- Centene Corporation (Lubbock, TX)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... Engage with providers to align on network performance opportunities and solutions , and consultative account management and accountability for issue resolution. Drive… more
- CVS Health (Pearland, TX)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... **_**Candidate must reside in Texas**_** **Position Summary** + The Lead Director, Provider Engagement manages and oversees compliance with our Provider … more
- Molina Healthcare (Longview, TX)
- …understands solutions required to improve health outcomes. * Drives provider participation in Molina risk adjustment and quality efforts (eg Supplemental data, ... **JOB DESCRIPTION** **Job Summary** The Provider Engagement Specialist, role implements Health Plan ... Provider Engagement Specialist, role implements Health Plan provider engagement strategy to achieve positive quality and risk… more
- Molina Healthcare (Fort Worth, TX)
- …- CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, ... in Texas _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and … more
- Evolent (Austin, TX)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Molina Healthcare (Houston, TX)
- …Description** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they… more