- 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
- AArete (Dallas, TX)
- …of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting , and Configuration ... development planning to competitive life and wellness benefits, AArete's "Culture of Care " takes a holistic approach to the employee experience. AAretians (our team… more
- AArete (Dallas, TX)
- …of provider TIN and NPI relationships Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting , and Configuration ... development planning to competitive life and wellness benefits, AArete's "Culture of Care " takes a holistic approach to the employee experience. AAretians (our team… 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)
- …Engineering** is 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
- 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
- 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
