Top 220 All 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
Sterile Processing Instructor
Fortis College - Houston South —Houston, TX
- $25 - $28 an hour
- Part-time
- Mid-level
- 3 years
- University
- 401(k)
- Employee assistance program
Quick Apply
1d
Dental Assisting Instructor - PT
Fortis Institute Houston North —Houston, TX
- $24 - $27 an hour
- Part-time
- Mid-level
- 3 years
- University
- 401(k)
- Employee assistance program
Quick Apply
Gen Ed Instructor - Microbiology - PT
Fortis Institute Houston North —Houston, TX
- $28 - $30 an hour
- Full-time
- Classroom
- Mid-level
- 3 years
- 401(k)
- Employee assistance program
Quick Apply
Community Care Worker III
Health & Human Services Comm —Houston, TX
- $2,953.25 - $4,365.66 a month
- Online Application
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Writing skills
- Health insurance
- Opportunities for advancement
Quick Apply
14d
Administrative Assistant
Dept of Family & Protectve Svc —Houston, TX
- $2,694.34 - $3,404.91 a month
- Overtime
- Background check
- Office
- Windows
- Paid holidays
- Dental insurance
Quick Apply
14d
Nursing Assistant
US Veterans Health Administration —Houston, TX
- $49,067 - $63,787 a year
- Part-time
- Acute care
- Background check
- Current TB test
- Paid parental leave
- Paid holidays
5d
Operations Worker
Buckhead Meat and Seafood —Houston, TX
- $17 an hour
- Weekends as needed
- 18 years or older
- Forklift
- High school diploma or GED
12d
JANITOR
Knight Facilities Management Inc —Houston, TX
- $17.50 an hour
- Full-time
- Writing skills
- Forklift
- High school diploma or GED
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
2d
Accounts Examiner (Houston)
Texas Workforce Commission —Houston, TX
- $3,446 a month
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Public speaking
- Health insurance
- 401(k)
5d
Patient Access Representative II - Neurosurgery (Memorial City)
UTHealth Houston —Houston, TX
- Mid-level
- High school diploma or GED
- Clinic
- Health insurance
- Employee discount
2d
Residential Child Care Investigator
Dept of Family & Protectve Svc —Houston, TX
- $4,523.16 - $7,253.83 a month
- Online Application
- Background check
- Clean driving record
- Management
- Paid holidays
- Dental insurance
Quick Apply
2d
Cook Supervisor
US Veterans Health Administration —Houston, TX
- $39.47 - $46.07 an hour
- Weekends as needed
- Background check
- Pass drug screening
- No experience needed
7d
Residential Child Care Licensing Inspector
Health & Human Services Comm —Houston, TX
- $4,250.00 - $5,094.16 a month
- Weekends as needed
- Background check
- Mid-level
- Residential
- Health insurance
- 401(k)
Quick Apply
LTCR Nursing Facilities Investigator V
Health & Human Services Comm —Houston, TX
- $6,318.95 - $7,761.50 a month
- Online Application
- Nursing home
- Computer literacy
- 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
6d
Systems & Applications Specialist I Behavioral Sciences Campus-(HCPC)
UTHealth Houston —Houston, TX
- Mentoring
- Recruiting
- In-person
- Health insurance
- Employee discount
Employment Specialist- I10 East
Goodwill Industries of Houston —Houston, TX
- Full-time
- Mid-level
- Bachelor's degree
- Psychology
Quick Apply
1d

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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

all occupations jobs in houston, tx

IPA Provider Network Specialist [HOUSTON]

Inventory Accountant

Sterile Processing Instructor

Dental Assisting Instructor - PT

Gen Ed Instructor - Microbiology - PT

Community Care Worker III

Administrative Assistant

Nursing Assistant

Operations Worker

JANITOR

CPS Program Support Spec FSS I

Accounts Examiner (Houston)

Patient Access Representative II - Neurosurgery (Memorial City)

Residential Child Care Investigator

Cook Supervisor

Residential Child Care Licensing Inspector

LTCR Nursing Facilities Investigator V

AES Texas Works Training Specialist

Systems & Applications Specialist I Behavioral Sciences Campus-(HCPC)

Employment Specialist- I10 East

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