Provider Contracting Director jobs in Lubbock, TX

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Director of Operations Inpatient Provider Services
  • Midland Health
  • Midland, TX FULL_TIME
  • Job Description

    Reporting to the VP, Community Health and Chief Medical Officer, this position is responsible for providing overall leadership, growth, marketing, administration and performance of all aspect of inpatient physician services to ensure accomplishment of its objectives. The Director of Operations will support the daily operations of the Midland Health employed, inpatient physician groups including: MIMA hospitalist group, Intensivists, Pulmonologists, Palliative Care and other employed inpatient physician services as needed.  Director of Operations will support the Medical Directors and CMO in regards to adequate scheduling of personnel along with a point of contact for Primary Care and referring Physicians to facilitate the coordination of care for patients within the Midland Health System.

    SHIFT AND SCHEDULE

    8:00 AM - 5:00 PM

    Monday - Friday

    ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS

    Participates with President/CEO, VP Community Health, CFO, CMO and Board of Directors in charting and implementing the group’s mission in response to changing needs.

    • Informs President/CEO, VP Community Health, CFO, CMO and Board of Directors about current trends, problems, and medical activities.

    • Coordinates with President/CEO, VP Community Health, CFO, CMO and Board of Directors, medical staff, and other clinical personnel of medical activities to ensure the fulfillment of community’s need for quality healthcare.

    • Oversees the business and financial affairs of the service and fiscal management including accounting, internal controls, and timely reporting.

    • Delegates authority and responsibility to management team members. Develops improved management techniques and practices.

    Provides assistance to managers in establishing department philosophy and objectives related to staffing and performance standards, policies and procedures and regulatory compliance.

    Coordinates with Legal to develop and update new and existing Provider contracts as needed including LOI’s and compensation packages

    • Prepares TMB Biennial report with Legal

    • Attends regular board meeting and assists with agenda preparation

    • Participates in Physician/APP recruitment including candidate overviews and interviews

    Serves as liaison and point of contact for MIMA and Hospital

    Coordinates with Medical Director, Director of Specialty Care, VP/CMO and, other medical team members to ensure the fulfillment of program goals

    Assists with the development of quality and performance incentives for Providers and supervises the tracking of incentives including coordination of data from billing services, MMH quality management and HIS department

    Collaborates with Providers for efficient reporting to PCP for follow-up of patients upon discharge

    Assist in orientation of new providers including training regarding policies and procedures as well as CME program availability

    Actively monitors and assists in the reduction of medical record deficiencies for providers

    Coordinates and monitors for accuracy the flow of patient information between the inpatient providers and outpatient providers for continuity of care

    EDUCATION AND EXPERIENCE

    Minimum of Bachelor Degree in Business or closely related field.  Minimum of seven years’ experience in the administration of clinic activities.

    PHYSICAL REQUIREMENTSTo perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to:•Stand, walk, sit, stoop, reach, lift, speak and hear. Lifting is limited to 35 lbs. for clinicalstaff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device orget another individual(s) to assist with the lift that is over these maximum limits

  • 28 Days Ago

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Nurse Practitioner - TX
  • Provider Partners Health Plan
  • Odessa, TX FULL_TIME
  • Nurse Practitioner Job Description POSITION SUMMARY The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of its Provider Partner Health ...
  • 19 Days Ago

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Family Medicine Physician
  • Provider Solutions & Development
  • Hobbs, NM FULL_TIME
  • Covenant Health is seeking a full-time Family Medicine physician to join the Covenant Lea Regional Medical Center in Hobbs, New Mexico. This is a brand-new hospital that opened in October of 2022 wher...
  • 2 Days Ago

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Pediatric Hospitalist
  • Provider Solutions & Development
  • Midland, TX FULL_TIME
  • Midland Memorial Hospital is seeking a full-time Hospitalist Pediatrician to join their dedicated and skilled team in Midland, Texas. Work in a state-of-the-art facility while collaborating with Coven...
  • 3 Days Ago

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Contracting Senior Controls Technicians
  • Career and Referral
  • Lubbock, TX FULL_TIME
  • At Trane TechnologiesTM and through our businesses including Trane® and Thermo King®, we create innovative climate solutions for buildings, homes, and transportation that challenge what’s possible for...
  • 9 Days Ago

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Provider
  • St. Joseph's Home Health, Inc.
  • Odessa, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • 2 Days Ago

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0 Provider Contracting Director jobs found in Lubbock, TX area

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Acute Care RN - Med Surg South
  • Providence Health & Services
  • Lubbock, TX
  • Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-p...
  • 3/28/2024 12:00:00 AM

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Associate Patient Services Specialist
  • Providence Health & Services
  • Lubbock, TX
  • Under the direction of the PAS manager, the Associate Patient Access Representative is responsible for assisting patient...
  • 3/28/2024 12:00:00 AM

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Acute Care RN - Palliative Care
  • Providence Health & Services
  • Lubbock, TX
  • $10,000 to $12,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment...
  • 3/28/2024 12:00:00 AM

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EMT -Basic, Advanced, Paramedic
  • Providence Health & Services
  • Lubbock, TX
  • This is a combined posting for an EMT Basic, EMT Advance and EMT Paramedic. The requirements of each role are listed bel...
  • 3/26/2024 12:00:00 AM

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Coder - Compliance
  • Providence Health & Services
  • Lubbock, TX
  • Job Description Under general supervision, coordinates the processing, review and application of ICD-9 & ICD-10 coding r...
  • 3/25/2024 12:00:00 AM

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Associate Distribution Attendant
  • providence-sanpedro.jobs
  • Lubbock, TX
  • Associate Distribution Attendant Lubbock , Texas **Description:** **Providence St. Joseph Health is calling an Assoc Dis...
  • 3/24/2024 12:00:00 AM

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LPN LVN - Southwest Medical Park
  • Providence Health & Services
  • Lubbock, TX
  • Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-p...
  • 3/24/2024 12:00:00 AM

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CNA - Staffing
  • Providence Health & Services
  • Lubbock, TX
  • The Nursing Assistant II performs the duties of a CNA and Health Unit Coordinator or Monitor Tech as required. Providenc...
  • 3/24/2024 12:00:00 AM

Lubbock (/ˈlʌbək/ LUB-ək) is the 11th-most populous city in the U.S. state of Texas and the county seat of Lubbock County. With a population of 256,042 in 2015, the city is also the 83rd-most populous in the United States. The city is located in northwestern part of the state, a region known historically and geographically as the Llano Estacado, and ecologically is part of the southern end of the High Plains, lying at the economic center of the Lubbock metropolitan area, which has a projected 2020 population of 327,424. Lubbock's nickname, "Hub City", derives from it being the economic, educat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$155,032 to $223,909
Lubbock, Texas area prices
were up 1.2% from a year ago

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