Top 17195 Senior manager, analytics Jobs in Texas

IPA, Network Provider Specialist [DALLAS]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Senior Technical Project Manager, Automation, NA
Vantage Data Centers Management Company LLC —Shackelford County, TX
- Full-time
- 6 years
- Bachelor of Science
- Microsoft Office
- AD&D insurance
- Disability insurance
Quick Apply
Senior Project Accounting Analyst
Sky Harbour —Weatherford, TX
- $85,000 - $120,000 a year
- Full-time
- Background check
- Oracle
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Senior Project Manager - Building Services (PCA Service Line Lead)
Vertex Resource Group —Dallas, TX
- Full-time
- Hybrid work
- Office
- Residential
- Mentoring
Quick Apply
Engineer Sr
CPS Energy —San Antonio, TX
- Weekends as needed
- Management
- Bachelor of Science
- Engineering
Senior Traffic Engineer - Leader
Whitman, Requardt & Associates, LLP —Austin, TX
- Urgently hiring
- 11+ years
- Office
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
Tax Manager / Senior Tax Manager (CPA Required)
Agile Income Tax LLC —Montgomery, TX
- $90,120.97 - $108,532.78 a year
- Full-time
- Background check
- Spanish
- CPA
- Continuing education credits
- Paid holidays
Quick Apply
11d
IPA, Network Provider Specialist [HOUSTON]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Director I - Regional 9-1-1 Department
West Central Texas Council of Governments —Abilene, TX
- $76,530 - $129,430 a year
- Full-time
- Bachelor's degree
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
4d
Staff/Principal Naval Architect
Saronic Technologies —Austin, TX
- Full-time
- Ability to walk for extended periods
- Data analysis skills
- 11+ years
- Paid parental leave
- Paid holidays
Quick Apply
Senior Tax Manager
Talnt —Dallas, TX
- Full-time
- 7 years
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Shipyard Optimization Manager
Saronic Technologies —Brownsville, TX
- Full-time
- Office
- Senior level
- Leadership
- Paid parental leave
- Paid holidays
Quick Apply
Senior Tax Accountant to Tax Manager
Wealth & Tax Architects —Hurst, TX
- $105,000 - $120,000 a year
- Full-time
- CPA
- Research
- Office
- Health insurance
- Paid time off
Quick Apply
Sr. Project Manager - Datacenter/Mission Critical
W. G. Yates & Sons Construction Company —Vernon, TX
- Full-time
- Senior level
- Ability to lift 25 pounds
- Commercial
Quick Apply
Senior Analyst, Tax
Cheniere Energy, Inc. —Houston, TX
- Weekends as needed
- Microsoft Excel
- Oracle
- CPA
Bookkeeper
Short Stop Food Stores —Mason, TX
- $20 - $25 an hour
- Full-time
- Writing skills
- Data analysis skills
- Mid-level
Quick Apply
Senior Manager, Assurance
Forvis Mazars —Fort Worth, TX
- Full-time
- 7 years
- CPA
- Master's degree
Quick Apply
Senior Consultant
E Logic —Harlingen, TX
- From $100,000 a year
- Part-time
- Hybrid work
- 7 years
- Computer Science
- Bachelor's degree
Quick Apply
Senior Project Manager
Tomball Controls —Von Ormy, TX
- Full-time
- Engineering
- High school diploma or GED
- Travel
Quick Apply
Business Analyst
Alps Alpine North America Inc —McAllen, TX
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Inventory management
- AD&D insurance
- Paid holidays
Quick Apply

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senior manager, analytics jobs near texas

IPA, Network Provider Specialist [DALLAS]

Nutex Holdco LLC -
Austin, TX

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
Life insurance

Qualifications

Vendor relationship building
Managed care organization experience
Gap analysis
Contract management experience in healthcare
Bachelor's degree
Health insurance knowledge
Direct contracting
Vendor relationship management
Training & development

Full Job Description

IPA, Network Provider Specialist [DALLAS]

The IPA Provider Network Specialist manages the physician network by developing and maintaining the assigned IPA/Medical Group. This individual provides service and education to network physicians/providers and achieves company targets by implementing network improvement plans. The representative offers professional work and is responsible for performing activities pertaining to IPA Provider Network Specialist. This job includes traveling to provider offices and working under general supervision. Positions at this level are assigned a broad range of duties in the occupation. The representative uses judgment in selecting appropriate guidelines and applying general policies and procedures.

JOB TYPE: Full-time; On the Road

RESPONSIBILITIES

Completes new provider orientation for all applicable product lines.
Conducts provider group meetings to review monthly/quarterly data and outcomes.
Responsible for meeting minutes and follow-up on 'TO DO' items identified at meetings.
Conduct site visits to service providers, resolve issues, educate staff and providers on policies, and collect credentialing information.
Conduct site visits to service providers and educate staff and providers on submitting Risk Adjustment Factor Data and HEDIS information.
Maintains relationships with contracted HMOs to implement amendments to DOFR, delegation, policy, and procedures.
Returns all routine calls from providers within 24 hours to establish consistent and robust relationships with provider offices.
Provide oversight on inquiries and claims issues and follow up with providers to ensure problems have been resolved.
Maintains provider office tools, including provider manual.
Supports regional Network Improvement Plan targets by providing utilization reports, ER contingencies, Frequent Flier Reports, and other analytics available to improve /maintain regions.
Identifies network gaps and completes contracts for PCP, Specialist, and Ancillary networks with in-depth knowledge of different fee schedules (Medicare/Medical/ASP/AWP).
Identifies new cost-saving possibilities through working with various committees, such as UM and Claims.
Understands and explains risk contracts (shared risk/entire risk).
Strategizes for membership growth and retention.
Provide training, mentoring, and guidance to new representatives.
Works on special projects as assigned or directed.

QUALIFICATIONS

Knowledge of MS Office: Word, Excel, PowerPoint, Access Database.
Knowledge of MS Provider relations/customer service strategies.
Knowledge of MSO-VL and MMSE programs and services: Authorizations, Claims, Credentialing encounters, RAF, Star Ratings, IS/IR, etc.
Knowledge of Network development strategies and Provider Relations experience or similar background.
Knowledge of current MSO-VL and MMSE geo-access requirements.
Effective and efficient oral and written communication skills.
Knowledge of County provider demographics.
Skills in negotiating contract language and rate structures.
Skills to provide training and technical assistance to contracted providers.
Skills to evaluate and assess provider network to determine gaps and services needed.
Skills to identify and develop new providers to ensure accessibility.
Skills to monitor contract performance through site visits and data analysis.
Skills to facilitate contracted provider meetings.
Ability to represent the department or division professionally.
Ability to establish and maintain effective working relationships with contracted and potential providers.
Ability to resolve provider inquiries or requests promptly.

REQUIREMENTS

Bachelor's Degree in Marketing or Business Administration
Minimum of 2 years experience in Network Management within a managed care environment, health plan, or significant medical group administration.

BENEFITS:

401(k) matching
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Apply Now

Refine Your Search

senior manager, analytics jobs in texas

IPA, Network Provider Specialist [DALLAS]

Senior Technical Project Manager, Automation, NA

Senior Project Accounting Analyst

Senior Project Manager - Building Services (PCA Service Line Lead)

Engineer Sr

Senior Traffic Engineer - Leader

Tax Manager / Senior Tax Manager (CPA Required)

IPA, Network Provider Specialist [HOUSTON]

Director I - Regional 9-1-1 Department

Staff/Principal Naval Architect

Senior Tax Manager

Shipyard Optimization Manager

Senior Tax Accountant to Tax Manager

Sr. Project Manager - Datacenter/Mission Critical

Senior Analyst, Tax

Bookkeeper

Senior Manager, Assurance

Senior Consultant

Senior Project Manager

Business Analyst

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