- 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
- Elevance Health (Grand Prairie, TX)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Grand Prairie, TX)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Elevance Health (Grand Prairie, TX)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… 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 (Plano, 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
- RTX Corporation (Mckinney, TX)
- …proposal content provides a cost -effective property lifecycle from acquisition to contract closeout. + Provide guidance and leadership to LPM employees that ... The Raytheon Logistics and Property Management (LPM) organization is looking for a Contract Specialist to support the Front End of the Business (FEOTB) for LPM.… 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
- 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
- Elevance Health (Grand Prairie, TX)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… 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
- 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
- RTX Corporation (Mckinney, TX)
- …Emerging team based out of McKinney, Tx. The selected candidate will provide comprehensive finance and Earned Value Management Support (EVM) to various external ... + Facilitate the financial planning activities for their specific contract including RPLAN updates and analyze and communicate how...of contact for Program Management and be able to provide financial guidance to IPT key team members and… 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
- Community Hospital Corporation (Plano, TX)
- …+ Develop reporting systems to identify trends and areas for improvement. + Provide recommendations to enhance GPO utilization and cost savings. Strategic ... Savings: + Participate in value analysis meetings to identify cost -saving opportunities. + Provide input on measures...with proven success in supply chain management, account management, contract negotiation, and cost savings. + A… 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 (Plano, 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
- Leonardo DRS, Inc. (Dallas, TX)
- …**Job Summary** Manage and direct the daily execution of multiple programs within contract requirements to assure that cost , schedules and performance goals are ... the integrated product and/or project team (kick-off through project close). Provide interface, communication and coordination with internal and external customers… 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
- 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