- Elevance Health (Houston, TX)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Houston, TX)
- ** Provider Contract / Cost of Care Analyst Sr.** **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
- Elevance Health (Grand Prairie, TX)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- CVS Health (Austin, TX)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Minimum 3+ ... 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
- Sedgwick (Austin, TX)
- …ancillary provider contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...quality program(s). **QUALIFICATIONS** **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… 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
- Centene Corporation (Austin, TX)
- …health plans in periodic analyses of their provider networks from a cost , coverage, and growth perspective + Provide leadership in evaluating opportunities ... hospitals and ancillaries). Support market expansion and M&A activities by leading provider contract analysis related to due diligence + Assist health… more
- Providence (TX)
- …analytics that range from ambulatory quality, patient experience, patient access, to risk-based contract analytics, total cost of care management, and ... position operates in a dynamic, fast-paced environment with continuous demands to provide value driven analytics that enable Providence to make data-driven decisions… more
- The Cigna Group (Houston, TX)
- … Performance Manager ensures the affordability of services in the assigned South Texas provider groups by effective control of various cost levers like Med/OPEX. ... Role Summary The Provider Performance Manager is a key member of...for and facilitating external physician meetings and value based contract administrative meetings (PPMs). Providing guidance to network physicians… 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
- Molina Healthcare (Dallas, 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
- 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
- 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
- MD Anderson Cancer Center (Houston, TX)
- …the nation, and the world through outstanding programs that integrate patient care , research and prevention, and through education for undergraduate and graduate ... **Summary** The primary purpose of the Sourcing Specialist position is to provide skilled assistance in the strategic sourcing of goods, equipment, or services.… more
- Liberty Utilities (Hawkins, TX)
- …and as an employee team. As the successful candidate Our Mission We provide safe, secure, reliable, cost -effective and sustainable energy and water solutions. ... Lead, Environment (6 month contract ) Tyler, TX, US, 75703Ozark, MO, US, 65721Forsyth,...56159 **At** **Algonquin-Liberty** **, we hire passionate people who care about doing the right thing for our customers.… more
- Jacobs (San Antonio, TX)
- …terms of budget, cost , and multiple fund sources * Ability to transfer contract cost tracking and reporting requirements into an established cost ... and administration of a multibillion-dollar Capital Investment Program (CIP) for a large Health Care client in Iowa City, IA. Relocation to the Iowa City area is… more
- Turner & Townsend (Houston, TX)
- …produce bid report, and compile contractual documents; + Participate effectively with post contract cost variances and the change control processes; + Manage ... be part of it. Through the commitment, capability and care our team brings, we build trust between clients,...be comfortable operating in a client-facing role **Responsibilities:** + Provide estimate and cost planning to include… more
- RTX Corporation (Mckinney, TX)
- …Provide weekly, monthly, and quarterly variance and data analysis. + Provide cost , schedule, financial analysis/reporting, funding planning, maintenance and ... of MRP drives , impacts of Grouping/Pegging/Distribution, and Material analysis. + Provide financial guidance to Factory Operations Managers, IPT leads , and SCM… more
- CVS Health (Austin, TX)
- …networks, and driving continuous improvements in quality and patient experience in post acute care , decreasing the total cost of care and ultimately ... of the program(s) are executing to program plans, partner contract requirements, and company commitments. + Deliver interventions to...market + Capture feedback from the marketplace and the provider community that will sharpen the Care … more
- Centene Corporation (Austin, TX)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...RN with BH experience required + For Illinois Youth Care Contract : Master's degree in social sciences,… more