- Christus Health (Grand Prairie, TX)
- … services. The Program Director nurtures collaborative pharmacist-physician relationships to provide safe, effective, and efficient patient care while ensuring ... Description Summary: The Program Director of Acute Care Pharmacy Operations is a leader responsible for coaching, guiding, leading, and mentoring Ministry Directors… more
- UnitedHealth Group (Dallas, TX)
- …to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to ... share tools, information, and guidelines as they relate to cost -effective healthcare delivery and quality of care ...and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership… more
- Elevance Health (Grand Prairie, TX)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- ** Cost of Care / Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- Health Care Service Corporation (Richardson, TX)
- …improve efficiencies and results. **JOB REQUIREMENTS** + Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting ... experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Health Care Service Corporation (Richardson, TX)
- …network / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Health Care Service Corporation (Richardson, TX)
- …for a motivated lawyer to provide counsel relating to complex contracting , including vendor, provider network, producer/customer, and strategic sourcing ... evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and...help advance HCSC's goal of expanding access to quality, cost -effective health care to help people live… more
- Elevance Health (Grand Prairie, TX)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- Molina Healthcare (Fort Worth, TX)
- …years previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Molina Healthcare (Fort Worth, TX)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- Molina Healthcare (Fort Worth, TX)
- …out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Health Care Service Corporation (Richardson, TX)
- …of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value provider partners are ... this Leader and their team will be responsible for contracting all medical agreements across these markets. The role...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Health Care Service Corporation (Richardson, TX)
- …for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Molina Healthcare (Fort Worth, TX)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- Health Care Service Corporation (Richardson, TX)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... implement additional Medical Drug initiatives (eg preferred drug strategies, site of care , rebate strategies). * Set up governance structure and process for… more
- Health Care Service Corporation (Richardson, TX)
- …software + Knowledge of health care reimbursement models. + Experience in provider and vendor negotiations and contracting models, provider relation and ... + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + Familiarity… more
- Texas Health Resources (Bedford, TX)
- …such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and precertification experience with ... been a cornerstone of care in the DFW mid-cities. As a 322-bed, acute- care , full-service hospital, we provide high-quality, convenient care to residents… more
- Molina Healthcare (Fort Worth, TX)
- …health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- Molina Healthcare (Fort Worth, TX)
- …health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
