Top 1888 Manager program contracts Jobs in Pasadena, Tx

Provider Contracts Manager
Harris Health —Houston, TX
- $80,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Up to 50% travel
- Health insurance
- Dental insurance
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
Contracts Administration Manager
Tyndale —Houston, TX
- $120,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- 7 years
- Microsoft Excel
- Paid parental leave
- Paid holidays
Quick Apply
Jobs Plus Program Manager
Houston Housing Authority —Houston, TX
- Full-time
- 5 years
- Word processing
- Computer literacy
Quick Apply
Manager Health Promotion
Harris Health —Houston, TX
- $80,000 - $100,000 a year
- Full-time
- Hybrid work
- Nursing
- Master's degree
- Analysis skills
- Health insurance
- Dental insurance
Project Manager
Fisk Electric Company —Houston, TX
- Full-time
- Microsoft Word
- Engineering
- Office
Senior Licensed Architect - Institutional
Huitt-Zollars —Houston, TX
- Full-time
- Office
- Travel
- Mentoring
- Commuter assistance
- AD&D insurance
Quick Apply
Manager - Facilities and Test Management JSC
Amentum —Houston, TX
- $80,604.18 - $150,000.00 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health savings account
- Relocation assistance
Quick Apply
Chief Executive Officer Minded (Build Something for yourself, not by yourself)
Farmers Insurance Houston - District 64 —Houston, TX
- $62,000 - $248,000 a year
- Full-time
- Background check
- Customer service
- Business development
- Employee discount
- Professional development assistance
Quick Apply
Mobile Nurse Practitioner
Magnolia Accident & Injury —Houston, TX
- From $500 a day
- Travel nursing
- CPR Certification
- Vital signs
- BLS Certification
Quick Apply
Land Transportation Category Manager
Korn Ferry for SABIC (Saudi Aramco) SMB-RPO —Houston, TX
- $123,000 - $181,000 a year
- Full-time
- Background check
- 18 years or older
- Spanish
- Health insurance
Quick Apply
5d
Scrap Metal Buyer
Sims Metal —Galena Park, TX
- $124,349 - $160,000 a year
- Hybrid work
- Background check
- ERP systems
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Assistant Property Manager
Gated Rentals —Crosby, TX
- $15.00 - $16.50 an hour
- Full-time
- Background check
- Residential
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Property Manager
Healthcare Realty Services LLC —Houston, TX
- Full-time
- Analysis skills
- Bachelor's degree
- Organizational skills
Quick Apply
Regional Property Supervisor (Multifamily)
Kismet Management Group —Houston, TX
- $70,000 - $100,000 a year
- Weekends as needed
- Spanish
- 7 years
- Management
- Health insurance
- Dental insurance
Quick Apply
4d
Area Sales Manager - Dealership Account Development
United Auto Credit Corporation —Houston, TX
- From $43,260 a year
- Weekends as needed
- Google Workspace
- Dealership
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
9d
Sr. Client Manager, Employee Benefits - IAS, Southwest
The Baldwin Group —Houston, TX
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
9d
Electrical Estimator
Omni Staffing —Houston, TX
- $65,000 - $85,000 a year
- Full-time
- Mid-level
- Databases
- 1 year
Quick Apply
11d
Senior Manager - Property Ops - Global Management Solutions
Hines —Houston, TX
- Full-time
- Research
- Residential
- Bachelor's degree
Outside Sales Representative
PestCo LLC —Houston, TX
- Full-time
- Mid-level
- Residential
- Travel
- Health savings account
- Paid holidays
Quick Apply

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manager program contracts jobs near pasadena, tx

Provider Contracts Manager

Harris Health -
Houston, TX

Apply Now

Job Details

Full-time
$80,000 - $100,000 a year

Benefits

Health insurance
Dental insurance
Vision insurance
Prescription drug insurance

Qualifications

Microsoft Outlook
Managed care organization experience
Contract management experience in healthcare
Driver's License
Direct contracting
Relationship management
Contracts
Terms and conditions negotiation

Full Job Description

Job Details

Career area

CHC Professional

Position Type

Full Time

Pay

$80,000.00 - $100,000.00

Location

CHC Loop Central - Remote, Houston, TX 77081, United States

Job ID

178907

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Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

' Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

' Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

' Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

JOB SUMMARY
The Provider Contracts Manager at Community Health Choice is responsible for network development and management. This role involves expanding provider networks for existing and new lines of business, negotiating provider agreements, ensuring regulatory compliance, and maintaining effective relationships with providers. The Provider Contracts Manager collaborates with various internal departments to achieve departmental goals and contribute to the overall success of the organization.

JOB SPECIFICATIONS AND CORE COMPETENCIES
Negotiate Provider Contracts:
Negotiate contract language and rates with hospital, physician, ancillary, and LTSS providers in accordance with established parameters and guidelines.
Collaborate with Compliance, Legal, and Credentialing teams to finalize
provider contracts, including amendments and new agreements.
Ensure compliance with regulatory and product requirements related to provider contracting, including network adequacy standards.

Expand Provider Networks:
Actively seek opportunities to expand provider networks for existing and new lines of business.
Conduct external meetings with prospective and existing providers to negotiate
or renegotiate agreements.
Collaborate with other relevant teams to facilitate network expansion efforts.

Ensure Compliance and Network Adequacy:
Assure compliance with regulatory requirements and product specifications related to provider contracting functions.
Monitor and ensure network adequacy, making necessary adjustments to meet
regulatory standards.
Coordinate with Network Management, Claims, and Provider Data Integrity teams to ensure accurate contract reimbursement and adherence to requirements.

Contribute to Departmental Goals:
Actively contribute to the achievement of departmental goals as outlined in the annual business plan.
Participate in departmental process improvement initiatives to enhance
operational efficiency and effectiveness.

Provider Relationship Management:
Serve as a liaison between Community Health Choice and its providers, facilitating communication and addressing any issues that arise.
Resolve problems and ensure smooth operations by maintaining positive
relationships with providers.

Other Duties:
Perform other duties as assigned to support the overall functioning of the department.

QUALIFICATIONS:
Education/Specialized Training/Licensure: Bachelor's degree Or
7 years' experience in lieu of degree (Must be the equivalent combination of required education and minimum experience.) required.

Work Experience (Years and Area): Minimum of three (3) years of experience in healthcare, providers/managed care, contracting, and relations with degree.

Minimum of seven (7) years of experience in healthcare, providers/managed care, contracting, and relations without degree.

Management Experience (Years and Area): N/A

Software Proficiencies: Microsoft Office (Word, Excel, Outlook)

Other: Travel will be required 50% of the time. Must have a vehicle and a valid State of Texas Driver's License. Must have managed care contract negotiation experience, preferably in the Houston market. Experience with Star Plus, LTSS, HCBPs, and
Medicare products is a plus.

Apply Now

Refine Your Search

manager program contracts jobs in pasadena, tx

Provider Contracts Manager

LTCR HCS Manager II

Contracts Administration Manager

Jobs Plus Program Manager

Manager Health Promotion

Project Manager

Senior Licensed Architect - Institutional

Manager - Facilities and Test Management JSC

Chief Executive Officer Minded (Build Something for yourself, not by yourself)

Mobile Nurse Practitioner

Land Transportation Category Manager

Scrap Metal Buyer

Assistant Property Manager

Property Manager

Regional Property Supervisor (Multifamily)

Area Sales Manager - Dealership Account Development

Sr. Client Manager, Employee Benefits - IAS, Southwest

Electrical Estimator

Senior Manager - Property Ops - Global Management Solutions

Outside Sales Representative

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