- Christus Health (Grapevine, 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
- 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
- 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
- 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
- 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
- Molina Healthcare (Fort Worth, TX)
- … care in the most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... clinical criteria competency. * Peer review, medical policy/procedure development, and provider contracting experience. * Strong verbal and written communication… more
- CDM Smith (Fort Worth, 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
- Molina Healthcare (Fort Worth, 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
- Molina Healthcare (Fort Worth, TX)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . + Ensures that… more
- Vistra (Irving, TX)
- …to the business through supplier service level, reliability, demand and strategic cost improvements. The Associate Category Manager will demonstrate the ability to ... for key categories. *Collaborate effectively, deliver timely information and provide recommendations *Develop and maintain key stakeholder relationships to ensure… more
- Lockheed Martin (Fort Worth, TX)
- …integration of DMS Redesign projects to ensure work is complete within cost , schedule, and performance requirements\. * Supporting proposal development efforts as ... think big, lead with a growth mindset, and make the impossible a reality? We provide the resources and give you the flexibility to enable inspiration and focus \-if… more
- Agiliti Health (Dallas, TX)
- …is in the right place at the right time for effective patient care . We value our diversity and celebrate our differences, always seeking diverse backgrounds, ... an understanding of contractual provisions, including the decision process involved in contracting maintenance and repair services for each Agiliti client in the… more
- CVS Health (Irving, TX)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... every day. **Position Summary** The Lead Director, Transformation Initiatives role will provide the business support for technology solutions in four key stakeholder… more
