Provider Contracting Manager jobs in Killeen, TX

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Nurse Practitioner - TX
  • Provider Partners Health Plan
  • Hamilton, 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 Plan (PPHP) members at designated skilled nursing facilities.

    The nurse practitioner works in collaboration with the member’s primary care physician to deliver exception health care. The nurse practitioner is the medical liaison to the interdisciplinary staff and allied health providers and communicates effectively to assure seamless delivery of services.

    As a key member of the clinical team in the skilled nursing facility, the nurse practitioner provides preventive care, diagnoses both acute and chronic illnesses, orders and interprets diagnostic tests, prescribes medications, refers to specialists as appropriate, establishes a plan of care with short-term and long-term goals, and is a resource to members, families, and staff.

    ESSENTIAL RESPONSIBILITIES
    • Demonstrates both autonomy and proficiency in performance of comprehensive health assessments.
    • Collaborates with member’s primary care physician to create a care plan focused on prevention, early detection and timely intervention.
    • Adheres to Provider Partners Health Plan standards of documentation and communication as directed by the PPHP Model of Care.
    • Observes the scope of practice in the state in which he or she is licensed and working in.
    • Communicates with physicians and family members during transitions of care.
    • Effectively communicates with all members of the care team and facilitates a medically appropriate and effective plan of care to avoid unnecessary duplication of testing, and fragmentation of care.
    • Participates in case rounds to review skilled and hospitalized members.
    • Performs duties as assigned.
    • work experience/EDUCATION requirements
    REQUIRED PROFICIENCIES
    • Minimum of 3 years clinical care experience.
    • Clinical competence and understanding of evidenced-based practice.
    • Proficient in basic computer skills- confidence in learning and using unfamiliar computer programs and electronic devices.
    • Strong commitment to the care of the elderly and the needs of their families
    • Solid interpersonal and communication skills
    • Good organizational skills
    • Admirable teaching skills
    • Strong customer service orientation
    • Skilled Nursing Facility/Long Term Care experience preferred.
    • Case management experience preferred
    • Knowledge of current standard medical practices and experience with Medicare/Medicaid.
    • Detailed knowledge of I-SNP MOC and I-SNP population.
    • Proficiency in nursing/medical databases and Microsoft programs.
    • Positive and enthusiastic attitude.
    LICENSURE, CREDENTIALING AND CERTIFICATION
    • Currently licensed as an Acute, Adult/Gerontological or Family Nurse Practitioner in the state of practice.
    • Meets the Provider Partner Health Plan credentialing requirements.
    • Holds or is eligible for DEA licensure and CDS licensure (if required in the state of practice)
    • Basic Cardiac Life Support certification.
    • Current unrestricted RN license for the state in which the Nurse Care Coordinator is practicing.
    OTHER REQUIREMENTS

    We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.

    Receipt and Acknowledgement

    I acknowledge and understand that:

    *Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind, and that my employment is at-will.

    *The job description provides a general summary of the position in which I am employed, that the contents f this job description are job requirements and at this time I know of no limitations which would prevent me from performing these functions with or without accommodation. I further understand that it is my responsibility to inform my supervisor at any time that I am unable to perform these functions.

    *Job duties, tasks, work hours and work requirements may be changed at any time.

    Job Type: Full-time

    Pay: $118,000.00 - $120,000.00 per year

    Benefits:
    • 401(k)
    • Dental insurance
    • Health insurance
    • Malpractice insurance
    • Paid time off
    • Vision insurance
    Medical specialties:
    • Geriatrics
    Supplemental schedule:
    • On call
    Weekly schedule:
    • Monday to Friday
    Work setting:
    • Nursing home
    • Skilled nursing facility
    Education:
    • Master's (Preferred)
    Experience:
    • LTC/SNF: 1 year (Required)
    License/Certification:
    • Certified Nurse Practitioner (Required)
    Willingness to travel:
    • 25% (Required)
    Work Location: On the road

     

  • 1 Month Ago

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Electrical Foreman - Special Projects
  • Weifield Group Contracting
  • Killeen, TX FULL_TIME
  • Are you looking to continue developing your electrical contracting leadership expertise?Are you hungry for access to challenging verticals like bioscience, medical, data centers, industrial, and more?...
  • 17 Days Ago

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Journeyman Electrician
  • Weifield Group Contracting
  • Killeen, TX FULL_TIME
  • Are you looking to expand your electrical expertise on a wide variety of jobs?Do you want to work for a fast-growing company with endless opportunities to expand your skills, achieve your financial go...
  • 1 Month Ago

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Electrical Service Technician
  • Weifield Group Contracting
  • Killeen, TX FULL_TIME
  • Are you looking to apply your electrical expertise to a wide variety of exciting commercial projects? Do you want to develop your leadership skills by running small crews? Do you enjoy building client...
  • 1 Month Ago

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Electrical Foreman - Special Projects
  • Weifield Group Contracting Texas LLC
  • Killeen, TX FULL_TIME
  • Are you looking to continue developing your electrical contracting leadership expertise? Are you hungry for access to challenging verticals like bioscience, medical, data centers, industrial, and more...
  • 15 Days Ago

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Electrical Service Technician
  • Weifield Group Contracting Texas LLC
  • Killeen, TX FULL_TIME
  • Are you looking to apply your electrical expertise to a wide variety of exciting commercial projects? Do you want to develop your leadership skills by running small crews? Do you enjoy building client...
  • 1 Month Ago

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0 Provider Contracting Manager jobs found in Killeen, TX area

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General Manager (Security Integration)
  • HireSparks AV Recruiting
  • Belton, TX
  • HIRING IMMEDIATELY!! We're on the lookout for a dynamic and visionary leader to step into the role of General Manager fo...
  • 4/25/2024 12:00:00 AM

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Submission for the position: Division Director, Cardiac and Thoracic Surgery - (Job Number: 23019480)
  • Baylor Scott & White Healthcare
  • Temple, TX
  • Baylor Scott & White Health is seeking a Division Director of Cardiac and Thoracic Surgery to join our Department of Sur...
  • 4/25/2024 12:00:00 AM

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Director of Clinic Operations
  • Texas Health
  • Temple, TX
  • texas health Director of Clinic Operations Temple , Texas Apply Now Dir Operations - Clinics S1 is responsible for plann...
  • 4/24/2024 12:00:00 AM

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Senior Project Manager
  • Fagron
  • Round Rock, TX
  • Job Description Job Description Fagron seeks a seasoned Senior Project Manager for our Austin office, tasked with spearh...
  • 4/23/2024 12:00:00 AM

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Electric T&D Projects Manager II (Ft Cavazos, TX)
  • Dominion Energy
  • Killeen, TX
  • At Dominion Energy we love our jobs. That's right. Love. Every day we go to work filled with passion to be excellent, to...
  • 4/23/2024 12:00:00 AM

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General Manager (Security Integration)
  • Hiresparks Av Recruiting
  • Belton, TX
  • HIRING IMMEDIATELY!! We're on the lookout for a dynamic and visionary leader to step into the role of General Manager fo...
  • 4/22/2024 12:00:00 AM

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MANAGER TRAINEE
  • AutoZone Inc.
  • Killeen, TX
  • AutoZone is committed to being an equal opportunity employer. We offer opportunities to all job seekers including those ...
  • 4/21/2024 12:00:00 AM

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Indirect Procurement Director
  • McLane Company
  • Temple, TX
  • McLane is one of the largest and most stable supply chain services leaders in the United States. We've been at the foref...
  • 3/29/2024 12:00:00 AM

Killeen is a city in Bell County, Texas, United States. According to the 2010 census, its population was 127,921, making it the 21st-most populous city in Texas. It is the principal city of the Killeen–Temple–Fort Hood Metropolitan Statistical Area. Killeen is directly adjacent to the main cantonment of Fort Hood. Its economy depends on the activities of the post, and the soldiers and their families stationed there. It is known as a military "boom town" because of its rapid growth and high influx of soldiers. Killeen is located in western Bell County at 31°6′20″N 97°43′36″W / 31.10556°N 97.7...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$99,241 to $131,793
Killeen, Texas area prices
were up 1.2% from a year ago

Provider Contracting Manager in Scranton, PA
In order to properly oversee provider contracts, insurance companies must ensure all the medical professionals they are contracting with are properly credentialed; maintain detailed price sheets to standardize how much they are paying for services; and keep historical records of each account.
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Provider Contracting Manager in Allentown, PA
The complete report provides the full listing of all companies nominated, as well as benchmark ratings for a listing of 40+ companies in account support and contracting.
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Provider Contracting Manager in Savannah, GA
The Senior Provider Contract Manager is responsible for developing, negotiating, managing and leading complex contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost-effective providers of healthcare services.
January 03, 2020