- Elevance Health (Grand Prairie, TX)
- ** Provider Contract / Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- The Cigna Group (Plano, TX)
- …Plans. + Skills in provider network development and management, value-based care contract execution including risk sharing. + Strong strategic acumen, ... contract performance teams to rate renewal targets, unit cost and overall claim trend targets are met. +...Design innovative contract solutions such as measurement-based care , case rates or preferred provider networks,… more
- CVS Health (Irving, TX)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... contract negotiator:** + Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards. +… more
- The Cigna Group (Dallas, TX)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Molina Healthcare (Dallas, TX)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- CVS Health (Dallas, TX)
- …for driving improvement in deal performance** **Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Baylor Scott & White Health (Dallas, TX)
- …+ Able to explain the procedure and put patients at ease. + Able to provide services in a timely, accurate, and cost -efficient manner in compliance with ... patients as requested by a physician or other licensed provider for the diagnosis of disease and injury in...and maintains current knowledge, continued education and skills appropriate care for the following age groups (specific to department):… more
- Lockheed Martin (Grand Prairie, TX)
- …seeking a Sr\. Financial Analyst for a position in Texas to assist with contract Earned Value Management System \(EVMS\) setup and management, cost control and ... of program finance functions including: \- Establishing / managing program cost baselines\. \- Conducting Earned Value analysis and associated variance analysis… more
- Centene Corporation (Irving, TX)
- … members and their families/caregivers on topics such as preventive care , procedures, healthcare provider instructions, treatment options, referrals, prescribed ... flexibility. **Hiring LPC, LCSW, or RN with psychiatric experience. Provide Behavioral Health Case Mgt services to members in...of care and service delivery for long-term care members in a cost -effective manner +… more
- Surgery Care Affiliates (Fort Worth, TX)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support...are going-and the growing career opportunities for YOU. Responsibilities Provide operational support to the facility by performing various… more
- CVS Health (Irving, TX)
- …of internal and external database applications. * Familiarity with managed care functions including provider contracting, benefit design, medical management, ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- The Cigna Group (Dallas, TX)
- …for the **Network Contractor** role among early-career employees. Our training program will provide you with an in-depth understanding of what it takes to succeed in ... healthcare network development and provider (ie, physicians and hospitals) contracting. Throughout this multi-week...providing the highest quality of healthcare at the lowest cost to our customers. + As a new Network… more
- Magellan Health Services (Dallas, TX)
- …which includes clinical/medical oversight of clinical team members and consultation and training with care managers in order to address cost and quality of ... care , ensuring that patients receive the most appropriate care at the most cost -effective setting. Evaluates...interventions. Identifies and immediately follows up any quality of care concerns with practitioners and provider facilities… more
- Community Hospital Corporation (Plano, TX)
- …and hospital account relationships, overseeing corporate-wide supply chain processes, cost -savings initiatives, materials management efficiencies, and contract ... or similar) with proven success in supply chain management, account management, contract negotiation, and cost savings. Education A bachelor's degree in… more
- Planate Management Group LLC (Fort Worth, TX)
- …performance of the DOR and related consultants to ensure quality design within the contract cost and schedule; manage the conduct of design reviews; participate ... that project design milestones and deliverable dates are being met while providing contract compliant, cost -effective facilities + Other tasks required by PDT to… more
- Royal Electric (Dallas, TX)
- …Review and interpret specifications to understand project requirements, coordinate discrepancies with contract documents, redline and/or provide cost for ... At Royal Electric Company we provide expert electrical design, construction, and service with...expectations. + Partner with Contracts to review and interpret contract language, confirm contract scope inclusions and… more
- HCA Healthcare (Dallas, 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
- HCA Healthcare (Dallas, TX)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Methodist Health System (Dallas, TX)
- …to physician groups and clinical areas to ensure continued delivery of quality patient care in conjunction with cost containment, cost reduction, product ... clinical areas to assure continued delivery of quality patient care in conjunction with cost containment and...with an emphasis on delivery of safe quality patient care and education of staff; assists with contract… 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, ... quality control, and submittal reviews beyond the expertise of construction managers + Provide quality assurance for ongoing projects, and serve as a mentor to fewer… more