- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Physician Contracting and Compensation position is responsible for overseeing the collection, categorization and analysis ... in the process of reviewing and making recommendations on customized strategies for physician compensation . + Oversees the practice valuation compensation … more
- Integrative Emergency Services (Dallas, TX)
- …looking for a Physician Recruiter who will identify, qualify, interview, and contract with physician and advance practice provider candidates for our partner ... establish fair market value in IES client markets. + Compile and maintain compensation data and hospital demographics in Fair Market Value database. + Provide… more
- Elevance Health (Grand Prairie, TX)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Provider Contract /Cost of Care Analyst Senior **Job Description:** **Provider Contract /Cost of Care ... within 50 miles of one of Elevance's Pulse Point locations. The **Provider Contract /Cost of Care Analyst Senior** is responsible for providing analytical support to… more
- AdventHealth (Mansfield, TX)
- **Registered Nurse Flexible Contract Assignments** AdventHealth Travel/ Contract Nursing Program . 4-13-week contract assignments . Exclusively supports ... time you are spending outside of patient care. . Compensation comparable to travel assignments **You Will Be Responsible...Reports appropriate information in a timely manner to responsible physician . . Observes and monitors patient lab work for… more
- Elevance Health (Grand Prairie, TX)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Value Based Contract / Cost of Care Consultant **Job Description:** **Value Based Contract / Cost of ... Care Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...negotiation process. Can work with multiple provider types, eg physician , ancillary, medical groups, or hospitals. Supports a full… more
- Molina Healthcare (TX)
- …Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts, ... communicates contract terms, payment structures, and reimbursement rates to physician , hospital and ancillary providers. * Participates with the management team… more
- Methodist Health System (Dallas, TX)
- …Shift :** **Job Description :** Your Job: The primary purpose of the Materials Nurse Manager position is to act as a liaison to physician groups and clinical ... appropriate for clinical area of expertise if preferred. * Working with physician groups and clinical areas to assure continued delivery of quality patient… more
- Elevance Health (Houston, TX)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Telephonic Nurse Case Manager II **Job Description:** **Telephonic Nurse Case Manager II** **Location: ... start earlier than 8am EST.** The **Telephonic Nurse Case Manager II** is responsible for the Case Management and...modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment… more
- Elevance Health (Grand Prairie, TX)
- **Anticipated End Date:** **Position Title:** Provider Network Manager (US) **Job Description:** **Location :** Candidate must be located in within 50 Miles of a ... work 4 days virtually .** **Develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary focus… more
- Elevance Health (Grand Prairie, TX)
- **Anticipated End Date:** 2024-09-19 **Position Title:** RN Transplant Case Manager II (Telephonic) **Job Description:** **LOCATION** **: This is a remote position ... the care management plan and modifies. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Assists in… more
- Elevance Health (Houston, TX)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Telephonic Nurse Case Manager II **Job Description:** **Telephonic Nurse Case Manager II** **Location: ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- CVS Health (Houston, TX)
- …complex VBS Medicaid models** **and** **smaller provider partnerships** **(small Physician practices, small-medium sized health systems).** **Ensures that assigned ... internal and external parties as needed to ensure compliance with contract terms and expectations** **Coordinates and prepares for external provider meetings… more
- Molina Healthcare (Port Arthur, TX)
- …Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of ... experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting,… more
- Centene Corporation (Irving, TX)
- …+ Acts as liaison and member advocate between the member/family, physician , and facilities/agencies + Supports members with primarily mental/behavioral health needs, ... Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements eg, LCSW, LPC and RN with BH experience is required.… more
- Houston Methodist (Katy, TX)
- …Comp, Commercial plans, etc.; knowledge of how to interpret a managed care contract , Medicare and Medicaid and Workers Compensation + Extensive knowledge of ... billing practices** Three years of experience working in healthcare contract compliance** Experience of resolving healthcare insurance payments discrepancies**… more
- Elevance Health (Grand Prairie, TX)
- …Title:** Nurse Case Mgr II (US) **Job Description:** **Telephonic Nurse Case Manager II** Elevance Health supports a hybrid workplace model with pulse point ... - 7 pm CST. The Telephonic **Telephonic Nurse Case Manager II** is responsible for care management within the...it as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment… more
- Elevance Health (Houston, TX)
- …increase effectiveness and quality. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or ... in good faith believes is the range of possible compensation for this role at the time of this...(United States of America) **Job Family:** MED > Licensed Physician /Doctor/Dentist Please be advised that Elevance Health only accepts… more
- Elevance Health (Grand Prairie, TX)
- …to Medical Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or independently ... in good faith believes is the range of possible compensation for this role at the time of this...(United States of America) **Job Family:** MED > Licensed Physician /Doctor/Dentist Please be advised that Elevance Health only accepts… more
- Elevance Health (San Antonio, TX)
- …- 6:00pm with occasional on call night/weekend shift as scheduled by manager . **Build the Possibilities. Make an Extraordinary Impact.** The **Specialty Pharmacy ... to: + Assists the pharmacist with dispensing items a physician orders pursuant to a valid prescription adhering to...be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- Elevance Health (Plano, TX)
- …are not limited to: + Assists the pharmacist with dispensing items a physician orders to a valid prescription adhering to the appropriate guidelines and policies. ... in good faith believes is the range of possible compensation for this role at the time of this...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more