- 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
- Health Care Service Corporation (Richardson, TX)
- …improve efficiencies and results. **JOB REQUIREMENTS** + Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting ... experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- CVS Health (Austin, TX)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Health Care Service Corporation (Richardson, TX)
- …network / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… 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
- Molina Healthcare (San Antonio, 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 (San Antonio, 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)
- …for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Centene Corporation (Austin, TX)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Molina Healthcare (Houston, 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
- Phillips 66 (Borger, TX)
- …to track progress and support turnaround milestones + Prepare and present clear cost reports, support contracting and compensation strategies, and lead cost ... Tracking, Estimating, Forecasting + Skilled in Planning, Management, and Cost Control + Able to provide TA...Phillips 66, providing access to high quality programs and care for you and your family is important to… more
- RTX Corporation (Mckinney, TX)
- …Managed by Collins Aerospace** We are currently seeking an experienced **Principal Program Cost Controls Analyst** to join our team at our McKinney, TX facility. ... local government agencies are an additional benefit. **What You Will Do** + Provide effective financial administrative planning and control on fixed price and … more
- The Cigna Group (Houston, TX)
- …TX** The **Hospital/Physician/Ancillary Contract Negotiator** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider ... total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist… more
- Health Care Service Corporation (Richardson, TX)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... implement additional Medical Drug initiatives (eg preferred drug strategies, site of care , rebate strategies). * Set up governance structure and process for… more
- Highmark Health (Austin, TX)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… 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
- HCA Healthcare (Austin, TX)
- …medical director services to facility-level physician credentialing, business development, and provider relations in contracting issues. + Provides medical ... on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Prime Therapeutics (Austin, TX)
- …(PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible ... specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more