• Provider Contracting…

    Humana (Austin, TX)
    …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
    Humana (06/04/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Austin, TX)
    …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
    CVS Health (05/16/25)
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  • Practice Engagement Professional

    CenterWell (San Antonio, TX)
    …+ A minimum of two years experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
    CenterWell (06/06/25)
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  • Chief Medical Officer

    HCA Healthcare (El Paso, TX)
    …to facility-level physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation on ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
    HCA Healthcare (04/23/25)
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  • GME Division Vice President of Operations

    HCA Healthcare (Austin, TX)
    …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... Medical Education, the Division Vice President of GME will provide the strategy, oversight, and hands-on management for the...and manage the execution of the faculty hiring and contracting process for all programs in the Division +… more
    HCA Healthcare (05/31/25)
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  • Chief Medical Officer

    HCA Healthcare (Cypress, TX)
    …medical director services to facility-level physician credentialing, business development, and provider relations in contracting issues. + Provides medical ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...the facility. + Assembles regional physician advisory panels to provide ongoing feedback to HCA senior management, and serves… more
    HCA Healthcare (05/16/25)
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  • Vice President, Managed Care

    Houston Methodist (Houston, TX)
    …situational awareness, using teachable moments to improve safety. + Directs the review of provider contracting rates to ensure strategic focus is on target with ... maintenance of health plan relationships. This position directs all aspects of provider network strategy and leads the process of continuous enhancement of… more
    Houston Methodist (03/28/25)
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  • Chief Medical Officer-Dallas,Fort Worth Market

    CenterWell (Dallas, TX)
    …and help us put health first** The Market CMO serves as a health-care professional and capable of handling a variety of health-related problems. The Market CMO ... centers. Work in conjunction with the Center Medical Directors to motivate and provide medical direction in pursuit of cost effective, quality healthcare. + Plan,… more
    CenterWell (04/29/25)
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  • Investigator

    Highmark Health (Austin, TX)
    … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
    Highmark Health (05/08/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Austin, TX)
    …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
    CenterWell (05/28/25)
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