Top 4631 Product support Jobs in Georgetown Tx

IPA, Network Provider Specialist [DALLAS]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Electrical Specialist
Linde Gas US —Taylor, TX
- Full-time
- Background check
- Up to 50% travel
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Licensed Massage Therapist
PCRK Group —Round Rock, TX
- Part-time
- Mid-level
- US work authorization
- Paid training
- Health insurance
Quick Apply
Bilingual Spanish Pharmacist
Blink Health —Pflugerville, TX
- Full-time
- Spanish
- English
- Data entry
- Paid parental leave
- Paid holidays
Quick Apply
IPA, Network Provider Specialist [HOUSTON]
Nutex Holdco LLC —Austin, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Sales Representative and Project Manager
CMAC Roofing LLC —Georgetown, TX
- $70,000 - $150,000 a year
- Email
- Mid-level
- Contracts
- In-person
- Flexible schedule
Quick Apply
Guardianship Paralegal
Family Eldercare —Austin, TX
- $60,000 a year
- Full-time
- Background check
- Microsoft Outlook
- Writing skills
- Health savings account
- Health insurance
Quick Apply
7d
Operations Engineer
GST America —Austin, TX
- $65,000 - $75,000 a year
- Full-time
- Computer literacy
- Bachelor of Science
- Engineering
- Health savings account
- Relocation assistance
Quick Apply
Loan Officer
Sonora Bank —Hutto, TX
- Full-time
- Writing skills
- Mid-level
- Office
- Loan repayment program
- Health insurance
Quick Apply
2d
HVAC Designer (BAS)
Airco Mechanical —Round Rock, TX
- $30 - $35 an hour
- Full-time
- Mid-level
- In-person
- 2 years
- Health savings account
- AD&D insurance
Quick Apply
Hospitality Service Support
HOA7 - TW RESTAURANT HOLDER, LLC —Round Rock, TX
- $12 an hour
- Part-time
- Bar
- 18 years or older
- ServSafe
Quick Apply
Sales Consultant
NextDesk —Georgetown, TX
- $20,800 - $32,000 a year
- Full-time
- English
- Mid-level
- High school diploma or GED
Quick Apply
Optical Engineer
TransWave Photonics, LLC —Austin, TX
- $90,000 - $120,000 a year
- Full-time
- Background check
- Mid-level
- 3 years
- Relocation assistance
- Health insurance
Quick Apply
Assistant Program Director (Paramedic) — Program Director Track
EMTS Academy —Round Rock, TX
- $85,000 - $92,000 a year
- Full-time
- Background check
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
14d
Transmission System Operator, Senior
Pedernales Electric Cooperative —Leander, TX
- $56.81 - $71.01 an hour
- Overtime
- 7 years
- Customer service
- Computer literacy
Group Fitness Coach
Industrious Austin - Work Hard Live Fit —Austin, TX
- $20 - $32 an hour
- Part-time
- High school diploma or GED
- Computer skills
- In-person
- Continuing education credits
- Employee discount
Quick Apply
Experienced Sales Designer - Kitchen and Bath
Cabinet IQ of Cedar Park, TX —Cedar Park, TX
- $80,000 - $120,000 a year
- Full-time
- Microsoft Excel
- 5 years
- Math
- Opportunities for advancement
Quick Apply
Senior Software Engineer
Trident Research LLC —Austin, TX
- $127,000 - $139,000 a year
- Full-time
- Computer Science
- 11+ years
- Office
- Health savings account
- AD&D insurance
Quick Apply
Procurement Specialist
BeckTV —Pflugerville, TX
- $60,000 - $65,000 a year
- Full-time
- Background check
- ERP systems
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Founding Insurance Advisor
Spyglass Realty —Austin, TX
- $60,000 - $75,000 a year
- Full-time
- Mid-level
- Organizational skills
- In-person
- Health insurance
- Paid time off
Quick Apply
9d

I want to receive the latest job alert for product support in georgetown tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

product support jobs near georgetown tx

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

product support jobs in georgetown tx

IPA, Network Provider Specialist [DALLAS]

Electrical Specialist

Licensed Massage Therapist

Bilingual Spanish Pharmacist

IPA, Network Provider Specialist [HOUSTON]

Sales Representative and Project Manager

Guardianship Paralegal

Operations Engineer

Loan Officer

HVAC Designer (BAS)

Hospitality Service Support

Sales Consultant

Optical Engineer

Assistant Program Director (Paramedic) — Program Director Track

Transmission System Operator, Senior

Group Fitness Coach

Experienced Sales Designer - Kitchen and Bath

Senior Software Engineer

Procurement Specialist

Founding Insurance Advisor

I want to receive the latest job alert for product support in georgetown tx

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected