Top 135 Management occupations Jobs in Houston, Tx

IPA Provider Network Specialist [HOUSTON]
Nutex Health —Houston, TX
- $78,000 - $88,000 a year
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Quick Apply
Inventory Accountant
CAB Enterprises, Inc. —Houston, TX
- Full-time
- ERP systems
- Pass drug screening
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Community Care Worker III
Health & Human Services Comm —Houston, TX
- $2,953.25 - $4,365.66 a month
- Online Application
- Working with individuals with developmental disabilities
- Microsoft Outlook
- Writing skills
- Health insurance
- Opportunities for advancement
Quick Apply
12d
Materials Management Specialist
Health & Human Services Comm —Houston, TX
- $3,342.96 - $3,844.91 a month
- Extended hours
- Microsoft Word
- Microsoft Outlook
- Writing skills
- Health insurance
- Opportunities for advancement
Quick Apply
7d
Voc Rehab Counselor (Houston)
Texas Workforce Commission —Houston, TX
- $3,582 - $4,940 a month
- Online Application
- Working with individuals with disabilities
- LPC
- No experience needed
- Paid holidays
- Health insurance
Accounts Examiner (Houston)
Texas Workforce Commission —Houston, TX
- $3,446 a month
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Public speaking
- Health insurance
- 401(k)
4d
Inspector V
Health & Human Services Comm —Houston, TX
- $5,035.99 - $6,779.25 a month
- Weekends as needed
- Working with individuals with developmental disabilities
- Nursing home
- Writing skills
- Health insurance
- 401(k)
Quick Apply
AES Texas Works Training Specialist
Health & Human Services Comm —Houston, TX
- $4,523.16 - $7,253.83 a month
- Online Application
- Mid-level
- Office
- 3 years
- Health insurance
- Opportunities for advancement
Quick Apply
5d
Health Technician
US Veterans Health Administration —Houston, TX
- $52,368 - $68,078 a year
- Online Application
- Background check
- Computer literacy
- Pass drug screening
7d
Regional Business Services Officer
Health & Human Services Comm —Houston, TX
- $4,801.16 - $6,281.33 a month
- Online Application
- Writing skills
- Office
- High school diploma or GED
- Health insurance
- Opportunities for advancement
Quick Apply
LTCR HCS Manager II
Health & Human Services Comm —Houston, TX
- $7,474.40 - $8,304.83 a month
- Online Application
- Working with individuals with developmental disabilities
- Mid-level
- Office
- Health insurance
- 401(k)
Quick Apply
JANITOR
Knight Facilities Management Inc —Houston, TX
- $17.50 an hour
- Full-time
- Writing skills
- Forklift
- High school diploma or GED
Environmental Hazards Branch Inspector
Dept of State Health Services —Houston, TX
- $4,801.16 - $7,761.50 a month
- Online Application
- Construction site
- Public speaking
- Office
- On-the-job training
Quick Apply
6d
CPS Program Support Spec FSS I
Dept of Family & Protectve Svc —Houston, TX
- $4,523.16 - $7,253.83 a month
- Online Application
- Background check
- Writing skills
- Adults
- Paid holidays
- Dental insurance
Quick Apply
16h
Patient Access Representative II - Neurosurgery (Memorial City)
UTHealth Houston —Houston, TX
- Mid-level
- High school diploma or GED
- Clinic
- Health insurance
- Employee discount
23h
RCCL Inspector V
Health & Human Services Comm —Houston, TX
- $5,133.50 - $6,779.25 a month
- Online Application
- Data analysis skills
- Residential
- Driver's License
- Health insurance
- Opportunities for advancement
Quick Apply
(Pooled) Security Operations Liaison (ARMED)
Texans Can! Academies —Houston, TX
- $32.57 an hour
- Full-time
- Bilingual
- Management
- Customer service
Regional Business Services Manager
Health & Human Services Comm —Houston, TX
- $5,425.33 - $7,155.75 a month
- Online Application
- Computer literacy
- Writing skills
- Office
- Health insurance
- Opportunities for advancement
Quick Apply
Administrative Coordinator/Senior Administrative Coordinator ASG McGovern Medical School
UTHealth Houston —Houston, TX
- Customer service
- Mid-level
- Bachelor's degree
- Health insurance
- Employee discount
6d
Caseload Coverage Vocational Rehabilitation Counselor (Houston-Temporary)
Texas Workforce Commission —Houston, TX
- $6,066.67 a month
- Temporary
- High school
- Working with individuals with disabilities
- 5 years
- Paid holidays
- Health insurance

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management occupations jobs near houston, tx

IPA Provider Network Specialist [HOUSTON]

Nutex Health -
Houston, TX

Quick Apply

Job Details

Full-time
$78,000 - $88,000 a year

Benefits

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

Qualifications

Vendor relationship building
Managed care organization experience
Contract management experience in healthcare
Bachelor's degree
Direct contracting
Vendor relationship management
Recruiting
Relationship management
Contracts
Managed physicians
Value-based negotiation
Training & development

Full Job Description

JOB SUMMARY

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.

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.

Job Type: Full-time

Pay: $78,000.00 - $88,000.00 per year

Benefits:

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

Application Question(s):

This role requires being based in the Houston area and traveling regularly between multiple provider locations across the city. Are you currently located in the Houston metro area and able to meet this multi-site travel requirement?

Education:

Bachelor's (Required)

Experience:

IPA Physician Network: 2 years (Required)
Physician Recruiting/Contracting: 2 years (Required)
Regional Network Improvement Plan: 2 years (Required)

Work Location: On the road

Quick Apply

Refine Your Search

management occupations jobs in houston, tx

IPA Provider Network Specialist [HOUSTON]

Inventory Accountant

Community Care Worker III

Materials Management Specialist

Voc Rehab Counselor (Houston)

Accounts Examiner (Houston)

Inspector V

AES Texas Works Training Specialist

Health Technician

Regional Business Services Officer

LTCR HCS Manager II

JANITOR

Environmental Hazards Branch Inspector

CPS Program Support Spec FSS I

Patient Access Representative II - Neurosurgery (Memorial City)

RCCL Inspector V

(Pooled) Security Operations Liaison (ARMED)

Regional Business Services Manager

Administrative Coordinator/Senior Administrative Coordinator ASG McGovern Medical School

Caseload Coverage Vocational Rehabilitation Counselor (Houston-Temporary)

I want to receive the latest job alert for management occupations in houston, tx

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