- University Medical Center of El Paso (El Paso, TX)
- …Assists with successful on-boarding and facilitates the development of a strategic provider recruitment plan. Assists with provider staff retention through ... and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid. Ability to adapt and use information system… more
- The Cigna Group (Plano, TX)
- …market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is...in lieu of a bachelor's degree. + **5+ years Medicare experience required.** + **5+ years Contracting … more
- The Cigna Group (Houston, TX)
- …as construct a united negotiation strategy with our Medical Commercial and Medicare contracting and Network Strategy Leadership. + Design innovative contract ... Provider Relationship and Service Management experience. + Technical/Functional expertise: provider contracting , provider relations and negotiation. +… more
- Cardinal Health (Austin, TX)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Molina Healthcare (Port Arthur, TX)
- …Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the Director , Provider ... Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… more
- Molina Healthcare (TX)
- …and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts… more
- Ascension Health (Austin, TX)
- …+ **Practice** **Detail** : Ascension Texas has an immediate opening for a Medical Director of Population Health who will serve as a member of the leadership team ... are seeking to recruit a full time, practicing Medical Director of Population Health to serve as a part-time...value-based care performance for patient populations. This role will provide clinical oversight for all value-based programs managed by… more
- Molina Healthcare (Dallas, TX)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- CVS Health (Dallas, TX)
- …+ Medicaid product pricing + Health Plan Operations + Provider contracting and reimbursement methodologies + Medicaid, Medicare or Commercial health ... and presenting new opportunity business cases to senior leaders + Provider contracting negotiations, including fully/partially capitated, value-based, risk… more
- Prime Therapeutics (Austin, TX)
- …This position is responsible for the management of Prime's network vendor's contracting activities ensuring contracting initiatives are effective and completed ... and compliant with Network Management policies + Create and manage network contracting campaigns with network vendor; analyze information and report contracting … more
- Prime Therapeutics (Austin, TX)
- …to questions and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct ... focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities** + 3+ years...Big 4 public accounting experience. + For roles supporting Medicare Part D: Medicare , PBM and/or managed… more
