- Service Experts (Conroe, TX)
- …Alaska and Hawaii. We have self-performing HVAC technicians as well as a network of 500+ mechanical contracting service providers delivering nationwide HVAC unit ... believe in doing what is right for our customers and our employees. We provide our employees with the training, support and an opportunity for unlimited professional… more
- Elevance Health (Houston, TX)
- ** Provider Network Contracting & Development Director** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must ... miles of a PulsePoint location. The ** Provider Network Contracting & Development Director**...projects with significant impact. * May assist management in network development planning. * May provide… more
- The Cigna Group (Plano, TX)
- …takes to succeed in healthcare network development and provider (ie, physicians and hospitals) contracting . Throughout this multi-week program, ... **The Cigna Group Sales and Contracting Development Program** ** Network ...of provider networks.** Support strategic positioning for provider contracting , assist in the development… more
- The Cigna Group (Plano, TX)
- …of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is a key contributor to the development ... in Houston, San Antonio, Dallas or Plano** The **Director, Provider Contracting - Medicare** serves as an...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Houston, TX)
- **LOCATION:** **Can be based in Houston, Austin or San Antonio, TX** ** PROVIDER CONTRACTING ADVISOR** This position serves as an integral member of the ... Provider Contracting Team and reports to the ...greater value-orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Plano, TX)
- **The Cigna Group Sales and Contracting Development Program** **Sales Associate** **Start Date July 14, 2024** It's fun to work in a company where people truly ... to the right place. The Cigna Group's Sales and Contracting Development Program provides professional development...onboard The Cigna Group's next generation of client and provider facing **Sales and Network Professionals.** **As… more
- Elevance Health (Grand Prairie, TX)
- … management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... link between providers and the company by lending expertise on network development efforts. Partners with local contracting teams to manage to outcomes on… more
- Elevance Health (Grand Prairie, TX)
- …1 day per week and work 4 days virtually .** **Develops the provider network through contract negotiations (language and rates), relationship development ... degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;...or any combination of education and experience, which would provide an equivalent background. + Travels to worksite and… more
- Molina Healthcare (TX)
- …Remote and must live in Texas _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... MHI attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new...education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting To all… more
- Molina Healthcare (Port Arthur, TX)
- … Service staff including hiring, training and evaluating performance. * Assists with ongoing provider network development and the education of contracted ... Provider Relations jobs are responsible for network development , network adequacy and... Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic… more
- Prime Therapeutics (Austin, TX)
- …strategies and compliant with Network Management policies + Create and manage network contracting campaigns with network vendor; analyze information and ... or Network Client Services initiatives + Perform network development , network analysis and...years of managed care experience in medical or pharmacy network contracting + Must be eligible to… more
- Elevance Health (Grand Prairie, TX)
- …is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations, while focusing efforts on lowering claims costs, ... improving the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. * Educates provider contractors on contracting analytics from a… more
- Elevance Health (Grand Prairie, TX)
- …responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- Elevance Health (Grand Prairie, TX)
- …Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... the quality of care, and increasing member and provider network satisfaction. Typically works with one...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- Humana (Austin, TX)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development , and contract/payer relations. This design ... administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development . **Sample projects:** + Analyzes quality metrics linked to… more
- Option Care Health (Austin, TX)
- …includes developing and maintaining relationships in Medical, Policy, Pharmacy, and Network provider departments within key accounts, developing innovative ... Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of...Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United… more
- HealthEdge Software Inc (Austin, TX)
- …payment integrity, and healthcare plan operations (eg, claim life cycle/workflow, network contracting , payment/policy configuration, provider relations, ... integrity + Healthcare plan operations (eg, claim adjudication life cycle/workflows, network contracting , payment/policy related configuration, provider … more
- Adolfson & Peterson Construction (Richardson, TX)
- …the nation's top contractors, is recruiting for an experienced Director of Business Development for our Gulf States Region based out of Richardson. This position ... through pursuit of strategic targets and relationship building. + Develop a network for active and quality lead gathering that creates opportunities to prospect,… more
- Cardinal Health (Austin, TX)
- …and operations. This position is responsible for administrative, strategic, business development , and contracting activities related to the Managed Care ... Managed Care contributes to practice growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject… more
- Prime Therapeutics (Austin, TX)
- …working changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime Therapeutics organization to… more
