Top 267 Activity specialist Jobs in Texas

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
Business Development Specialist- Palma Real
PALMA REAL —Corpus Christi, TX
- Full-time
- LVN
- RN License
- Hospital
- Continuing education credits
- Health insurance
Quick Apply
8d
Instructional Assistant
Bridges Academy Austin —Austin, TX
- $18 - $22 an hour
- Part-time
- Background check
- School experience
- Classroom
- Health insurance
- Dental insurance
Quick Apply
2d
Youth Activities Specialist
SpaceX —Texas
- Extended hours
- Mid-level
- Presentation skills
- Bachelor's degree
Construction Support Specialist I
Fluor Enterprises, Inc-FD —Houston, TX
- $70,500 - $130,500 a year
- 6 years
- Construction site
- Word processing
- AD&D insurance
- Disability insurance
Project Specialist
Houston Methodist Academic Institute —Houston, TX
- Full-time
- Customer service
- Word processing
- Writing skills
Research Regulatory Compliance Manager
Methodist Health System —Dallas, TX
- Full-time
- 3 years
- Master's degree
- Analysis skills
Travel Risk Specialist - Level I (Day Shift)
Prosegur —Irving, TX
- $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Customs Specialist - Entry Writer
DSV —Dallas-Fort Worth, TX
- $22.25 - $30.25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Travel Risk Specialist - Level I (Night Shift)
Prosegur —Irving, TX
- $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Internal Communications Specialist
Cetera Financial Group —Dallas, TX
- $70,000 - $85,000 a year
- Full-time
- Hybrid work
- Marketing
- Bachelor of Science
- Mid-level
- Paid parental leave
- Paid holidays
10d
Restorative Specialist
Del Valle High School —Del Valle, TX
- $229.15 a day
- Extended hours
- Background check
- School experience
- Classroom
- Flexible schedule
Manager of Education-Fellowships
UT Southwestern —Dallas, TX
- Full-time
- 7 years
- Internal Medicine
- University
- Paid parental leave
- Paid holidays
Security Specialist - Operations
SYSTEM HIGH CORPORATION —Fort Worth, TX
- $115,000 - $130,000 a year
- Full-time
- Mid-level
- Office
- Master's degree
Quick Apply
Lead Contract Monitoring Specialist
DePelchin Children’s Center —Houston, TX
- Full-time
- Mid-level
- Office
- Analysis skills
5d
Safety Specialist II - Environmental Health & Safety
University of Texas Permian Basin —Odessa, TX
- $68,500 a year
- Weekends as needed
- Background check
- Engineering
- Mid-level
- AD&D insurance
- Health insurance
11d
Business Resources Specialist
City of Frisco —Frisco, TX
- $64,267.58 - $93,188.16 a year
- Extended hours
- Mid-level
- Office
- Travel
6d
Manager II
Dept of State Health Services —Austin, TX
- $5,098.66 - $6,031.58 a month
- Online Application
- Writing skills
- Public speaking
- Research
Quick Apply
11d
Sales Specialist
LGC Group —Houston, TX
- $68,000 - $105,000 a year
- Full-time
- Remote
- Mid-level
- Travel
- Contracts
- Health savings account
- Disability insurance
Quick Apply
Specialist Diagnostic (RDSPD)
Fort Bend Independent School District —Sugar Land, TX
- Classroom
- Working with individuals with disabilities
- Teaching Certification

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activity specialist jobs near texas

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

activity specialist jobs in texas

IPA Provider Network Specialist [HOUSTON]

Business Development Specialist- Palma Real

Instructional Assistant

Youth Activities Specialist

Construction Support Specialist I

Project Specialist

Research Regulatory Compliance Manager

Travel Risk Specialist - Level I (Day Shift)

Customs Specialist - Entry Writer

Travel Risk Specialist - Level I (Night Shift)

Internal Communications Specialist

Restorative Specialist

Manager of Education-Fellowships

Security Specialist - Operations

Lead Contract Monitoring Specialist

Safety Specialist II - Environmental Health & Safety

Business Resources Specialist

Manager II

Sales Specialist

Specialist Diagnostic (RDSPD)

I want to receive the latest job alert for activity specialist in texas

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