We have other current jobs related to this field that you can find below
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Director of Donor Relations
2 weeks ago
Houston, United States The Edge Group Full timeNonprofit Director of Donor RelationsHouston, TXPOSITION DESCRIPTION:Our client, a Houston non-profit organization in support of children and their families, is seeking a Director of Donor Relations. This Director will work directly with the Sr. VP of Advancement in developing and executing the organization’s individual mid-level program, major gifts...
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Director of Donor Relations
2 weeks ago
Houston, United States The Edge Group Full timeNonprofit Director of Donor RelationsHouston, TXPOSITION DESCRIPTION:Our client, a Houston non-profit organization in support of children and their families, is seeking a Director of Donor Relations. This Director will work directly with the Sr. VP of Advancement in developing and executing the organization’s individual mid-level program, major gifts...
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Director of Donor Relations
24 hours ago
houston, United States The Edge Group Full timeNonprofit Director of Donor RelationsHouston, TXPOSITION DESCRIPTION:Our client, a Houston non-profit organization in support of children and their families, is seeking a Director of Donor Relations. This Director will work directly with the Sr. VP of Advancement in developing and executing the organization’s individual mid-level program, major gifts...
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Investor Relations Director
3 months ago
Houston, United States Pacifica Continental Full timeJob DescriptionJob DescriptionInvestor Relations DirectorHouston, TXOur client is a global diversified chemicals company, operating across multiple segments including PET, fibers, and packaging. With a strong emphasis on sustainability, they are committed to producing innovative solutions that address environmental challenges while driving economic...
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Director, Investor Relations
2 weeks ago
Houston, United States Pacifica Continental Full timeOur client, a leading global sustainability company, is looking for a Director, Investor Relations to join their team.Mission of the RoleWork as a strategic business partner responsible for leading and expanding investor outreach.Aid in business growth through expertise in valuations and financial aspects.Lead a team to drive the right decisions through...
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Director, Investor Relations
3 months ago
Houston, United States Pacifica Continental Full timeJob DescriptionJob DescriptionOur client, a leading global sustainability company, is looking for a Director, Investor Relations to join their team. Mission of the RoleWork as a strategic business partner responsible for leading and expanding investor outreach.Aid in business growth through expertise in valuations and financial aspects.Lead a team to drive...
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Provider Relations Rep
1 month ago
Houston, United States Harris Health System Full timeThe Provider Relations Representative PRR is responsible for resolving Physician and /or Provider focused issues (educational needs, contract verification, participation status, claims payment discrepancies, interaction with Communitys provider port Relations, Business Services, Healthcare, Education
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Provider Relations Representative
4 days ago
Houston, United States Molina Healthcare Full timeMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance Relations, Representative, Healthcare, Customer Service, Education, Network, Business Services
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Provider Relations Manager
5 days ago
Houston, Texas, United States EHE Health Full timeJob OverviewAbout EHE Health:EHE Health stands as the premier national provider of preventive healthcare, collaborating with mid- and large-sized employers to ensure the health of their employees and dependents. Through comprehensive examinations, we screen and diagnose health risks, enabling early intervention. Recognized by Fortune Magazine and Great Place...
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Provider Relations Manager
6 days ago
Houston, Texas, United States EHE Health Full timeJob OverviewAbout EHE Health:EHE Health stands as the premier national provider network dedicated to preventive healthcare, collaborating with mid- and large-sized employers to ensure the well-being of their employees and dependents. Through comprehensive examinations, we screen and identify health risks, facilitating early intervention. Recognized by...
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Sr. Provider Relations Rep
4 days ago
Houston, United States Harris Health System Full timeThe Senior Provider Relations Representative is office-based and is responsible for resolving Physician, Hospital, Ancillary, and Physician organization (Provider) focused issues including, but not limited to educational needs, contract verification, Relations, Healthcare, Business Services, Representative, Education
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Houston, Texas, United States InsideHigherEd Full timeJob SummaryWe are seeking a highly skilled and experienced Development Director of Donor Relations and Stewardship to join our team at InsideHigherEd. The successful candidate will be responsible for leading the development and implementation of a comprehensive donor relations and stewardship program, with a focus on building strong relationships with major...
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Healthcare Provider Relations Specialist
6 days ago
Houston, Texas, United States Airrosti Full timeAbout the OrganizationAirrosti is a dedicated healthcare organization focused on alleviating pain and addressing functional injuries through superior, outcome-driven musculoskeletal care, both in-clinic and via Airrosti Remote Recovery (ARR). Pain can significantly impact a patient's ability to rest, engage in physical activities, maintain productivity at...
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OCOK Provider Relations Specialist
3 weeks ago
Houston, United States ACH Child and Family Services Full timeJob DescriptionJob DescriptionDescription:Position Function:Work closely with the Provider Relations Manager, Clinical Director, Chiefs, and other OCOK departments to build a Provider Network with a healthy capacity and continuum of residential care. Responsible for ensuring the smooth transition of new providers to the OCOK Network. Helps OCOK Network...
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Director, Provider Contracting
2 months ago
Houston, Texas, United States The Cigna Group Full timeThe job profile for this position is Provider Contracting Advisor, which is a Band 4 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is...
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Head of Investor Relations
5 days ago
Houston, Texas, United States Pacifica Continental Full timePosition OverviewPacifica Continental, a prominent player in the global sustainability sector, is seeking a Director of Investor Relations. This role is pivotal in enhancing investor engagement and driving strategic financial initiatives.Core ResponsibilitiesAct as a strategic partner to management, spearheading investor outreach efforts.Contribute to...
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Head of Investor Relations
5 days ago
Houston, Texas, United States Pacifica Continental Full timePosition OverviewPacifica Continental is seeking a Director of Investor Relations to enhance our strategic outreach to investors. This role is pivotal in fostering relationships and ensuring transparent communication with our investor community.Key ResponsibilitiesAct as a strategic partner in expanding investor engagement and outreach initiatives.Utilize...
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Employee Relations Manager
2 weeks ago
Houston, United States Ultimate Staffing Full timeUltimate Staffing is looking to hire a Employee Relations Manager on the East side of Houston. Please apply ASAP as this is an IMMEDIATE need and interviews are currently underway!Duties:Resolve employee relations issuesInvestigate complaints such as discrimination, harrassment, etc.Recommend resolutions for Director's approval; provide summaries and...
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ChildCare Provider
3 months ago
Houston, United States Apogee STEM Discovery Learning Academy Full timeJob DescriptionJob DescriptionGeneral PurposeUnder the direct supervision of the Apogee STEM Discovery Learning Academy Director, employee assists with providing early childhood care to children. Prepares instructional materials and maintains order and cleanliness in the learning environment. This include using observation skills to remain aware of...
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Head of Investor Relations
5 days ago
Houston, Texas, United States Pacifica Continental Full timeJob OverviewPacifica Continental, a prominent player in the global sustainability sector, is seeking a Director of Investor Relations. This role is pivotal in enhancing our engagement with the investment community.Key ResponsibilitiesAct as a strategic partner to elevate investor outreach initiatives.Contribute to organizational growth through insights on...
Director, Provider Relations
2 months ago
We are searching for a Director of Provider Relations — someone who works well in a fast-paced setting. In this position, you will be responsible for maintaining a best-in-class provider network management organization that spans multiple service delivery areas and products. This includes all functions and systems supporting provider relations, provider communication, network capacity, appointment accessibility and provider satisfaction for the Health Plan. The director of Provider Relations plays an integral role in setting cross-functional alternative payment model strategies, supporting innovative service delivery methods including telehealth and ensuring accurately functioning provider processes across the provider lifecycle.
Think you’ve got what it takes?
Job Duties & Responsibilities
•Responsible for coordinating and executing a network provider strategy and developing and leveraging operational relationships, quality controls and workflows to provide best-in-class provider service.
•Develops strategy for alternative payment models (APMs) across provider specialties in order to achieve regulatory requirements.
•Knowledgeable in regulatory requirements related to provider communications. Develops internal processes for provider communication requests, review and publication including tiered approach to provider outreach.
•Directs activities related to developing and administering policy, short and long-range goals, strategic planning initiatives, internal and external reporting and regulatory communication.
•Develop systems to ensure effective coordination between network providers, care management, quality, claims, customer service and network contracting
•Assist with the development and maintenance of a robust provider network that meets state-defined accessibility standards and incorporates continuous quality improvement and effective outreach programming
•Establish readiness plans for product expansion, assimilation, and regulatory review
•Mentor and develop staff toward expansion of professional roles to meet the continuous challenges and changes in managed care, contractual and legislative regulations, including promoting the ability to respond effectively to innovation and capacity management
Skills & Requirements
•Bachelor’s degree in healthcare administration, business administration or a related healthcare or business field
•A minimum of 7 years’ experience in healthcare management and managed care experience
•2 years’ experience in leadership/management role
•Master’s degree in Healthcare Administration, Business Administration or related healthcare or business field can substitute for 2 years of general experience (does not substitute for Leadership experience)
About Texas Children’s
Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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