- 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)
- …Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... 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 Skills, Capabilities, and Experiences:**… 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 (Dallas, 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
- 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
- Molina Healthcare (Dallas, 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)
- …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
- Vistra (Irving, TX)
- …supplies and services, in accordance with established category strategies and contracting practices across assigned company operations. The position will report to ... execution, and maintenance over the contract term. **Key Accountabilities/Responsibilities** Contracting *Conduct/support supplier negotiations, including commercial and legal terms.… more
- Molina Healthcare (Dallas, 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 (Dallas, 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 (Dallas, TX)
- …management standardization, and cost -effective quality outcomes in a managed care environment. Contributes to overarching strategy to provide quality and ... for multi-state licensure. 5+ years in behavioral health-specific managed care leadership. + Experience with value-based contracting , fraud/waste/abuse… more
- Molina Healthcare (Dallas, TX)
- …senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations ... in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- CDM Smith (Dallas, TX)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- HCA Healthcare (Plano, TX)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Leonardo DRS, Inc. (Dallas, TX)
- …Manage and direct the daily execution of contract requirements to assure that cost , schedules and performance goals are met. May lead or support all meetings ... the integrated product and/or project team (kick-off through project close). Provide interface, communication and coordination with internal and external customers… more
- WTW (Dallas, TX)
- …health insurance carrier, managed care organization or another leading health care provider + Deep understanding of HIPAA requirements and general data ... This role is key to Willis Towers Watson's core value proposition to provide data driven, empirically tested solutions employing leading edge tools. **The Role** +… more
- Leonardo DRS, Inc. (Dallas, TX)
- …the daily execution of multiple programs within contract requirements to assure that cost , schedules and performance goals are met. Lead all meetings and the ... integrated product and/or project team (kick-off through project close). Provide interface, communication and coordination with internal and external customers on… more
- Black & Veatch (Dallas, TX)
- …medium to high-risk profiles * Manage multiple pursuits of differing revenue, contracting structures, complexities and schedules at a given time Professionals in ... leadership, while gaining exposure to all client types, delivery methods, contracting models and project risk profiles. Professionals in this role interface… more
- Planate Management Group LLC (Dallas, TX)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... solutions + Coordinate and monitor project tasks to ensure timely and cost -effective delivery + Build and maintain effective working relationships with contractors,… more