Top 210 Business development occupations Jobs in Georgetown, Tx

IPA, Network Provider Specialist [HOUSTON]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Data Analyst (Statewide)
Texas Workforce Commission —Austin, TX
- $4,832.08 a month
- Online Application
- Office
- Databases
- High school diploma or GED
- Health insurance
- 401(k)
Business Analyst (Austin)
Texas Workforce Commission —Austin, TX
- $5,833 - $6,833 a month
- Online Application
- Microsoft Word
- Research
- Mid-level
- Health insurance
- 401(k)
CPI Investigation Worker Trainee
Dept of Family & Protectve Svc —Georgetown, TX
- $3,816.65 - $5,372.41 a month
- Weekends as needed
- Background check
- Clean driving record
- Computer literacy
- Paid holidays
- Dental insurance
Quick Apply
Campaign Coordinator (Austin)
Texas Workforce Commission —Austin, TX
- $4,512.75 - $5,225.00 a month
- Online Application
- Mid-level
- Office
- Travel
- Health insurance
- 401(k)
5d
Management Analyst (Austin)
Texas Workforce Commission —Austin, TX
- $5,250 a month
- Online Application
- Microsoft Excel
- Mid-level
- Office
- Health insurance
- Dental insurance
Digital Product Manager
Dover Fueling Solutions —Austin, TX
- Overtime
- Sales
- Mid-level
- Office
12d
Staff Services Officer (Austin)
Texas Workforce Commission —Austin, TX
- $4,599.25 - $5,177.91 a month
- Online Application
- Writing skills
- Mid-level
- Office
- Health insurance
- 401(k)
11d
Training Coordinator
Health & Human Services Comm —Austin, TX
- $3,900.00 - $5,372.41 a month
- Extended hours
- Acute care
- 18 years or older
- CPR Certification
- Health insurance
- Opportunities for advancement
Quick Apply
Research Specialist
Health & Human Services Comm —Austin, TX
- $4,263.16 - $6,779.25 a month
- Online Application
- Writing skills
- Mid-level
- Office
- Health insurance
- Paid time off
Quick Apply
Communications Coordinator (Austin)
Texas Workforce Commission —Austin, TX
- $4,788 - $69,408 a year
- Online Application
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- 401(k)
Administrative Assistant (Austin)
Texas Workforce Commission —Austin, TX
- $2,772.36 a month
- Online Application
- Spanish
- Office
- Administrative experience
- Health insurance
- 401(k)
2d
Accounts Examiner (Austin)
Texas Workforce Commission —Austin, TX
- $2,953.25 - $4,924.66 a month
- Online Application
- Background check
- Microsoft Outlook
- Writing skills
- Health insurance
- 401(k)
Executive Communications Coordinator
Health & Human Services Comm —Austin, TX
- $5,425.33 - $7,250.00 a month
- Online Application
- Office
- Continuous improvement
- Travel
- Health insurance
- Opportunities for advancement
Quick Apply
FMLA Specialist
Health & Human Services Comm —Austin, TX
- $4,801.16 - $5,425.32 a month
- Online Application
- Writing skills
- Mid-level
- Office
- Health insurance
- Parental leave
Quick Apply
10d
Compliance Reviewer (Contracts)
Health & Human Services Comm —Austin, TX
- $7,083 - $8,500 a month
- Online Application
- 5 years
- Writing skills
- Office
- Health insurance
- Opportunities for advancement
Quick Apply
13d
Special Assistant
Health & Human Services Comm —Austin, TX
- $5,797.66 - $9,508.25 a month
- Online Application
- Microsoft Excel
- 5 years
- Research
- Health insurance
- Opportunities for advancement
Quick Apply
7d
Workforce Support Specialist
Health & Human Services Comm —Austin, TX
- $5,888.50 - $6,125.00 a month
- Online Application
- Writing skills
- Office
- 3 years
- Health insurance
- Opportunities for advancement
Quick Apply
12d
Human Resources Director (Austin)
Texas Workforce Commission —Austin, TX
- $11,666.67 a month
- Online Application
- 6 years
- Office
- Travel
- Health insurance
- 401(k)
1d
Executive Assistant
Health & Human Services Comm —Austin, TX
- $4,523.16 - $5,888.50 a month
- Online Application
- Microsoft Excel
- Writing skills
- Research
- Health insurance
- Opportunities for advancement
Quick Apply
5d

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business development occupations jobs near georgetown, tx

IPA, Network Provider Specialist [HOUSTON]

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
Contract management experience in healthcare
Bachelor's degree
Health insurance knowledge
Direct contracting

Full Job Description

IPA, Network Provider Specialist [HOUSTON]

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.

ROLE TYPE: 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

business development occupations jobs in georgetown, tx

IPA, Network Provider Specialist [HOUSTON]

Data Analyst (Statewide)

Business Analyst (Austin)

CPI Investigation Worker Trainee

Campaign Coordinator (Austin)

Management Analyst (Austin)

Digital Product Manager

Staff Services Officer (Austin)

Training Coordinator

Research Specialist

Communications Coordinator (Austin)

Administrative Assistant (Austin)

Accounts Examiner (Austin)

Executive Communications Coordinator

FMLA Specialist

Compliance Reviewer (Contracts)

Special Assistant

Workforce Support Specialist

Human Resources Director (Austin)

Executive Assistant

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