- Elevance Health (Grand Prairie, TX)
- ** Provider Contract / Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Prime Therapeutics (Austin, TX)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Austin, TX)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- The Cigna Group (Houston, TX)
- …Plans. + Skills in provider network development and management, value-based care contract execution including risk sharing. + Strong strategic acumen, ... contract performance teams to rate renewal targets, unit cost and overall claim trend targets are met. +...Design innovative contract solutions such as measurement-based care , case rates or preferred provider networks,… more
- Molina Healthcare (TX)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- CVS Health (Dallas, TX)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... contract negotiator:** + Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards. +… more
- The Cigna Group (Houston, TX)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- The Cigna Group (Plano, TX)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Houston Methodist (Houston, TX)
- …with 3rd party for compensation compliance and reporting to support contract negotiations and final term sheet development. The manager position responsibilities ... entity committees as a voice for the department. + Oversees physician contract processes and ensures requirements are met including: proforma, term sheets, and… more
- Molina Healthcare (Port Arthur, TX)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- Molina Healthcare (New Braunfels, TX)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- CVS Health (Houston, TX)
- …for driving improvement in deal performance** **Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Baylor Scott & White Health (Dallas, TX)
- …+ Able to explain the procedure and put patients at ease. + Able to provide services in a timely, accurate, and cost -efficient manner in compliance with ... patients as requested by a physician or other licensed provider for the diagnosis of disease and injury in...and maintains current knowledge, continued education and skills appropriate care for the following age groups (specific to department):… more
- Williams Companies (Houston, TX)
- …in cost analysis; schedules reports for compliance with the contract requirements and prepares relevant documentation + Resolves sophisticated problems to ... too, so bring your energy to ours! The Construction Contract Manager Sr. is responsible for coordinating with our...to a Health Savings Account + Healthcare and Dependent Care Flexible Spending Accounts + Paid time off, including… more
- CVS Health (Austin, TX)
- …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Prime Therapeutics (Austin, TX)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... passion and drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this… more
- InGenesis (Pearsall, TX)
- InGenesis is currently sourcing Advanced Practice Provider - Psychiatric candidates to work with our client. In this role, you will provide healthcare under the ... Welfare - additional per hour rate to help offset cost of insurance. * 2 weeks of PTO *...of complex psychiatric conditions. * Coordinates mental health patient care , off-site referrals, and collaborative duties through scheduled appointments,… more
- Microsoft Corporation (San Antonio, TX)
- …CO+I team is seeking a Datacenter Engineering Procurement Construction (EPC) **Metro Senior Cost Manager** to provide services onsite in the US locations listed. ... GC at during design development and agreement of the contract sum. + Pay application assessment and approval for...& closeout for all vendor accounts. + Manage the Cost Management firm contracted to provide commercial… more
- InGenesis (Dilley, TX)
- …emergency within 4 minutes, where a fast walk or jog may be necessary to provide assistance. * Required to perform CPR/emergency care standing or kneeling. * ... InGenesis is currently sourcing Advanced Practice Provider candidates to work with our client. In...work with our client. In this role, you will provide healthcare under the scope of a collaborative practice… more
- Humana (Austin, TX)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and… more