- Health Care Service Corporation (Richardson, TX)
- …including accuracy and sound judgment * Experience proactively developing creative, win-win solutions considering the impact on the provider contract, network, ... health care providers. Objectives of this position includes overseeing the SE region of provider contracting in the Eastern region for MA markets for all FFC & VBC… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
- Sinch (San Antonio, TX)
- …of our comprehensive voice and messaging portfolio within the Communication Service Provider (CSP) segment. This is a strategic individual contributor role for a ... stakeholders (C-level, VP-level) within new and existing client accounts. + Solution Selling: Utilize solution -selling and value-based techniques to deeply… more
- Health Care Service Corporation (Richardson, TX)
- …communicator with the ability to build professional trust relationships with provider community and coworkers *Identifies solutions to non-standard requests ... liaison with providers through education, training, claims assistance and ongoing provider service. Required Job Qualifications: *Bachelor Degree and 1 year managed… more
- NTT DATA North America (Dallas, TX)
- NTT DATA, Inc. is currently seeking a Remote - Provider Data Management Processors to join our team. Our Client is one of leading Health Plans in US. ... Responsibilities: + Analyzing and processing provider transactions in accordance with plan provisions. + Should follow the policy and procedure which is defined by… more
- Ascension Health (Austin, TX)
- **Details** + **Department:** Provider Recruitment + **Schedule:** Full Time, Monday-Friday + **Location:** Partially Remote - Austin, Texas (TX) + **Salary:** ... a seamless recruitment process with a heightened focus on priority needs. ** Provider Recruiter - Resident Core Responsibilities:** + Encompasses all aspects of the… more
- Molina Healthcare (Dallas, TX)
- …**Job Summary** Responsible for accurate and timely measurement of critical provider analytics including Network Adequacy and other critical metrics. Synchronizes ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on ...+ Capitalize on opportunities to cross-sell Analytic Tools and Solutions to existing Internal Customers, market the value of… more
- Huron Consulting Group (Houston, TX)
- …consultant** with a top consulting firm, specializing in delivering strategic solutions for healthcare provider organization clients. + **Proven leadership** ... the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create...impact immediately. Learn about how our culture and values provide you with the kind of environment that invites… more
- CVS Health (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 ... role is for a position on the Issue Research and Resolution team within Provider Digital Operations organization. It involves support of our Digital Portal and … more
- Molina Healthcare (Dallas, TX)
- …workflow optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management, and credentialing ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations and… more