Top 1539 Program specialist Jobs in Katy, Tx

Provider Relations Specialist
Altus ACE —Houston, TX
- $70,000 - $85,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Presentation skills
- Health savings account
- Health insurance
Quick Apply
14d
Customer Service and Enrollment Specialist
SOTA Benefits, LLC —Houston, TX
- $38,000 - $53,000 a year
- Part-time
- Background check
- Spanish
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Senior Environmental Compliance Specialist
Alliance Technical Group —Houston, TX
- $90,000 - $115,000 a year
- 7 years
- Microsoft Excel
- Microsoft Outlook
- Travel reimbursement
- Profit sharing
Quick Apply
Environmental Compliance Specialist II
Alliance Technical Group —Houston, TX
- $80,000 - $90,000 a year
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Travel reimbursement
- Profit sharing
Quick Apply
SAT/ACT Tutor
Tutor Doctor of Katy —Katy, TX
- $25 - $30 an hour
- Choose your own hours
- Background check
- Mid-level
- Math
- Flexible schedule
- Referral program
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Customer Care Specialist
Serenity Mental Health Centers —Houston, TX
- $23 - $30 an hour
- Full-time
- Background check
- Pass drug screening
- 2 years
- Paid training
- Paid holidays
Quick Apply
Drug & Alcohol Program Specialist
Tesla —Brookshire, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Addiction Medicine
- Commuter assistance
- Health savings account
Field Operations Specialist - Human Services Program - Houston, Texas
The Workforce Group —Houston, TX
- $30 - $33 an hour
- Weekends as needed
- Background check
- Spanish
- Ability to walk for extended periods
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Clerk - Library
Katy Independent School District —Katy, TX
- Full-time
- Word processing
- Computer literacy
- High school diploma or GED
14d
Child Development Specialist (ECI)
The Harris Center for Mental Health and IDD —Houston, TX
- From $58,360 a year
- Full-time
- Customer service
- Driver's License
- Mentoring
- Paid time off
- Employee assistance program
Client Service Representative, Weekend Days
Ethos Veterinary Health —Houston, TX
- $17 - $19 an hour
- Full-time
- Surgery
- Critical & Intensive Care
- Neurology
- Health savings account
- Paid holidays
Program Specialist III
Texas A&M University —Houston, TX
- 8 hour shift
- Customer service
- Word processing
- Engineering
- AD&D insurance
- Paid holidays
12d
Certified Diabetes Care and Education Specialist: Kelsey-Seybold Clinic Fort Bend Campus
UnitedHealth Group —Sugar Land, TX
- $60,200 - $107,400 a year
- Full-time
- Nursing
- Management
- RN License
Emergency Response Specialist
The Response Group —Cypress, TX
- Full-time
- Public speaking
- Mid-level
- Quality control
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Prior Authorization Specialist
Onco360 —Houston, TX
- From $23 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Education Specialist
Prescolaire —Richmond, TX
- Full-time
- Classroom
- 5 years
- Preschool
- Health insurance
- Dental insurance
Quick Apply
Medical Records Processing Specialist Onsite
Healthmark Group —Houston, TX
- $18 - $20 an hour
- Full-time
- HIPAA
- Office
- In-person
- Paid holidays
- Disability insurance
Quick Apply
14d
(USA) Member Specialist
Sam's Club —Houston, TX
- $17 - $25 an hour
- High school
- Continuous improvement
- Mentoring
- Paid jury duty
- Disability insurance
Member Specialist
Sam's Club —Houston, TX
- $17 - $25 an hour
- High school
- Continuous improvement
- Mentoring
- Paid jury duty
- Disability insurance
2d
Contract Specialist III
Health & Human Services Comm —Houston, TX
- $4,263.16 - $6,779.25 a month
- Online Application
- Writing skills
- Office
- Bachelor's degree
- Health insurance
- Opportunities for advancement
Quick Apply
7d

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Provider Relations Specialist

Altus ACE -
Houston, TX

Quick Apply

Job Details

Full-time
$70,000 - $85,000 a year
14 days ago

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount

Qualifications

Sales contract management
Microsoft Outlook
Presentations for conferences or internal meetings
Account development
Contract management experience in healthcare
Bachelor's degree
Health insurance knowledge
Quality improvement
Medical credentialing
Organizational skills
Contracts
Data-driven problem-solving
Business Administration

Full Job Description

Job Title:

Provider Network Specialist

Reports To:

SVP, Network Operations

FLSA Status:

Exempt

Department:

Network Operations & Contracting

Job Summary

The Provider Network Specialist is responsible for growing and servicing Altus ACE’s primary care provider network across Medicare, Medicare Advantage, Medicaid, and commercial value-based care contracts. This is a dual-role position requiring both business development (recruiting and closing new PCPs) and account management (servicing existing provider groups to ensure satisfaction, retention, and performance against contract SLAs).

The ideal candidate combines a working knowledge of managed care and value-based care with strong sales instincts, relationship management skills, and the ability to interpret performance data and communicate actionable insights to providers.

Essential Functions

1. Network Growth & PCP Recruitment

Prospect, recruit, and close new primary care physicians to join Altus ACE’s provider network and assigned PODs.
Build and maintain a pipeline of prospective PCPs with managed care experience who are positioned to capitalize on their attributed patient populations through value-based care arrangements.
Guide prospective providers through the full contracting process, from initial outreach to executed agreement.
Collaborate with senior leadership to identify strategic growth targets by geography, payor mix, and contract need.
Track recruitment activity and conversion metrics, reporting progress against growth targets.
Lead contract negotiations with physicians.
Assist with provider credentialing by ensuring all necessary documents are completed promptly and accurately.

2. Account Management & Provider Servicing

Serve as the primary point of contact for assigned provider groups, owning the ongoing relationship and ensuring provider satisfaction and retention.
Conduct regular site visits to provider locations, responding promptly to operational issues and proactively identifying needs.
Orient newly contracted providers to Altus ACE programs, systems, and processes, ensuring a smooth onboarding experience.
Provide training and support to providers and their staff on managed care topics, VBC program requirements, and ACE workflows.
Develop educational materials to support provider understanding and facilitate behavior change aligned with population health goals.
Act as a liaison between healthcare providers and the Altus ACE Network team, fostering strong professional relationships.

3. POD Operations & JOC Meeting Management

Own the end-to-end Joint Operating Committee (JOC) meeting process for assigned PODs: pull performance data, assemble the meeting packet, set and drive the agenda, facilitate the meeting, and follow up on action items.
Monitor POD performance metrics against payor contract SLAs, including shared savings, medical loss ratio, quality measures, and HCC recapture rates.
Present performance data to providers during JOC meetings and site visits, translating data into clear, actionable improvement opportunities.
Track PCP satisfaction within PODs and implement improvements as needed.

4. Clinical Operations & Population Health Support

Identify opportunities with local providers to support clinical and quality-related operations.
Contribute to the organization’s overall population health management strategy by reinforcing care gap closure and quality improvement at the practice level.
Respond to routine member and provider inquiries regarding managed care issues, providing accurate and helpful information.
Perform other related tasks as assigned, contributing to the success and efficiency of the Altus ACE network.

Qualifications

Required

Bachelor’s degree in healthcare administration, business, or related field, or equivalent combination of transferable work experience and education.
2+ years of experience in provider relations, network development, healthcare sales, or managed care operations.
Demonstrated understanding of managed care fundamentals: contracting, credentialing, provider networks, and payor relationships.
Working knowledge of value-based care concepts, including shared savings, risk arrangements, medical loss ratio, and quality/performance metrics.
Proven ability to close: track record of recruiting providers, closing contracts, or driving sales in a healthcare or professional services environment.
Excellent communication and presentation skills with both internal and external audiences, including the ability to present data-driven performance insights to physicians.
Strong relationship-building, problem-solving, and organizational skills.
High proficiency with MS Office (Word, Excel, PowerPoint, Outlook), with particular strength in Excel for data analysis and reporting.

Preferred

Experience working in an MSO, IPA, ACO, or similar value-based care organization.
Experience preparing and presenting dashboards using data visualization tools such as Tableau or Power BI.
Familiarity with Medicare, Medicare Advantage, and Medicaid programs and their associated quality measures (HEDIS, Stars, HCC coding).

Pay: $70,000.00 - $85,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Health savings account
Paid time off
Vision insurance

Education:

Bachelor's (Required)

Experience:

Provider Relations: 2 years (Required)
Preparing/Presenting dashboards w/Tableau or Power BI: 1 year (Preferred)

Ability to Commute:

Houston, TX 77042 (Required)

Work Location: In person

Quick Apply

Refine Your Search

program specialist jobs in katy, tx

Provider Relations Specialist

Customer Service and Enrollment Specialist

Senior Environmental Compliance Specialist

Environmental Compliance Specialist II

SAT/ACT Tutor

Customer Care Specialist

Drug & Alcohol Program Specialist

Field Operations Specialist - Human Services Program - Houston, Texas

Clerk - Library

Child Development Specialist (ECI)

Client Service Representative, Weekend Days

Program Specialist III

Certified Diabetes Care and Education Specialist: Kelsey-Seybold Clinic Fort Bend Campus

Emergency Response Specialist

Pharmacy Prior Authorization Specialist

Education Specialist

Medical Records Processing Specialist Onsite

(USA) Member Specialist

Member Specialist

Contract Specialist III

I want to receive the latest job alert for program specialist in katy, tx

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