Healthcare Operations Manager

4 days ago


Mission, Texas, United States AdventHealth Full time

About the Role:

The Account Manager is responsible for managing and coordinating the integration of Health Plans, Government Programs, Employers, MA and Individual contracting with the Population Health Services Organization (PHSO) and AdventHealth provider network.


Key Responsibilities:

• Develop and manage effective primary relationships with key stakeholders, supports professional negotiation, responsive communication, problem resolution to meet customer expectations.


Account Management:

• Operational Management of accounts, products or programs: facilitate work teams, track deliverables, problem solve, issue resolution


Contract Management:

• Reviews contract provisions and administrative issues with leadership and pursues opportunities to improve profitability and retention.


Negotiation and Communication:

• In preparation for renegotiations, gather underwriting data, review claims experience, review the recommended renewal action and prepares a summary justifying the renewal and recommending changes when appropriate.


Proposal and Presentation:

• Reviews proposal requests, providing all appropriate information to leadership, and present or assist in the presentation of the proposal to the Health Plans or Employers.


Education and Experience:

The Account Manager requires a Bachelor's degree in a related field and a minimum of three years of experience in the field of health insurance.


AdventHealth:

AdventHealth is a clinically integrated, physician-led network, including North Kansas City Hospital, Advent Health and The University of Kansas Health System, and independent primary care and specialist physicians.


Community Involvement:

Centrus Health is a high-quality value-based network for government and commercial payers and employers since 2018, committed to improving the health and well-being of the community.


  • Operations Manager

    4 weeks ago


    Mission, Texas, United States CVS Health Full time

    At CVS Health, we're committed to delivering exceptional care to our customers. As an Operations Manager, you'll play a vital role in driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. Under the supervision of the Store Manager, you'll maintain an engaged, productive store...


  • Mission, Texas, United States Prime Healthcare Full time

    OverviewMission Regional Medical Center, a member of Prime Healthcare, is committed to delivering quality healthcare to the community. As a Clinical Nurse Case Manager, you will play a crucial role in promoting cost containment and ensuring seamless delivery of care.The ideal candidate will have a minimum of 5 years of work experience post-graduation of an...


  • Mission, Texas, United States TruFit Athletic Clubs Full time

    About TruFit Athletic ClubsWe're a purpose-driven organization dedicated to building a more powerful you. Our purpose is to empower every teammate, member, and community we serve. By living our core values, we strive to leave everyone in a more powerful position than when they met us.Job SummaryWe're seeking an Assistant Fitness Manager to join our team. As...


  • Mission, Texas, United States Prime Healthcare Full time

    Drive Business Growth and Marketing ExcellenceMission Regional Medical Center, a leading healthcare provider, seeks a talented Strategic Business Development and Marketing Manager to join our award-winning team. As a key member of our leadership team, you will be responsible for developing and implementing strategic business development and marketing plans...


  • Mission, Texas, United States VDart Full time

    Job Title: IT Network Operations LeadJob Summary: VDart is seeking an experienced IT Network Operations Lead to manage our network operations team. The ideal candidate will have a deep understanding of IT network architecture and operations, with experience in managing a team of network engineers. The successful candidate will be responsible for monitoring,...


  • Mission, Texas, United States Quality Talent Group Full time

    About the JobAt Quality Talent Group, we are seeking an experienced Operations Administrator to join our team. This role is responsible for providing operational oversight and leadership throughout the organization. The successful candidate will be responsible for leadership in unforeseen situations, making timely decisions that directly impact patient care,...

  • Audio Visual Manager

    4 weeks ago


    Mission, Texas, United States Premier Group Recruitment Full time

    Job DescriptionWe are seeking an experienced Audio Visual Engineer Manager to join our team at Premier Group Recruitment. The ideal candidate will have a strong background in AV systems engineering and management, with a focus on field operations and equipment programming.Key Responsibilities:Responsible for field operations, including coordination of...


  • Mission, Texas, United States Prime Healthcare Full time

    OverviewMission Regional Medical Center, a member of Prime Healthcare, offers a unique opportunity to expand your horizons and be part of a community dedicated to making a difference in the lives of our patients.The hospital provides inpatient and outpatient hospital services to the people of the Rio Grande Valley, with a 297-bed, non-profit facility that...


  • Mission, Texas, United States Prime Healthcare Full time

    Job SummaryPrime Healthcare is seeking a skilled Registered Nurse to join our team at Mission Regional Medical Center. As a critical care nurse, you will be responsible for providing high-quality patient care in the Post-Anesthesia Care Unit (PACU).Key ResponsibilitiesDeliver patient care through assessment, planning, implementation, and evaluationCoordinate...

  • Anesthesia Technician

    4 weeks ago


    Mission, Texas, United States Prime Healthcare Full time

    Job SummaryThe Anesthesia Technician plays a vital role in the provision of quality patient care in a fast-paced surgical environment. Reporting to the Circulating RN, OR Charge Nurse, and the Director of Peri-Operative Services, this individual assists Anesthesiologists and colleagues in delivering continuous, high-quality care to patients of all ages. Key...


  • Mission, Texas, United States Prime Healthcare Full time

    Job SummaryThe Registered Nurse is a vital member of our healthcare team, providing exceptional patient care in our Medical-Surgical Unit. As a skilled and compassionate nurse, you will be responsible for assessing, planning, implementing, and evaluating patient care to ensure the highest level of quality and safety.Responsibilities• Provide direct patient...

  • Pharmacy Technician

    4 weeks ago


    Mission, Texas, United States Prime Healthcare Full time

    OverviewMission Regional Medical Center, a member of Prime Healthcare, is seeking a skilled Pharmacy Technician to join our dedicated team of professionals. As a Pharmacy Technician, you will assist the Pharmacist in the daily operation of the Pharmacy, ensuring the highest level of patient care and satisfaction.ResponsibilitiesAssist the Pharmacist in the...


  • Mission, Texas, United States Prime Healthcare Full time

    As an Environmental Services Technician at Prime Healthcare, you will be responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings. Your duties will include traveling from one facility to another without assistance and responding to and initiating communication by phone, handheld radios, and pagers.Key...

  • Account Manager

    4 weeks ago


    Mission, Texas, United States David Rozeff - State Farm Agent Full time

    As a key member of our team at David Rozeff - State Farm Agent, you will play a vital role in our daily business operations and customers' success. Your primary responsibility will be to grow our agency through meaningful client relationships and acting as a liaison between customer needs and agency departments. You will improve the lives of our customers by...


  • Mission, Texas, United States Aveanna Healthcare Full time

    Aveanna Healthcare Job DescriptionRole: Private Duty Nurse LVNJob Type: Part-time/PRNLocation: Pharr, McAllen, RGV, Surrounding AreasAveanna Healthcare is seeking a skilled Private Duty Nurse LVN to provide home health care services to our patients in the Pharr, McAllen, RGV, and surrounding areas. As a Private Duty Nurse LVN, you will be responsible for...

  • Laundry Attendant

    1 month ago


    Mission, Texas, United States Healthcare Services Group Full time

    Job SummaryAs a Laundry Worker at Healthcare Services Group, you will be responsible for collecting and sorting soiled linen, loading and unloading machines, folding clean linen, operating computer-operated washers and dryers, counting and recording the linen processed each day, and making proper deliveries to units. You will also be responsible for cleaning...


  • Mission, Texas, United States Prime Healthcare Full time

    OverviewMission Regional Medical Center, a leading healthcare provider in the Rio Grande Valley, is seeking a skilled PACU Registered Nurse to join our team. As a critical care professional, you will be responsible for delivering high-quality patient care in the post-anesthesia care unit (PACU).ResponsibilitiesProvide direct patient care through assessment,...


  • Mission, Texas, United States Prime Healthcare Full time

    OverviewMission Regional Medical Center, a member of Prime Healthcare, is seeking a highly skilled Business Development and Marketing Manager to join our award-winning team. As a key member of our leadership team, you will be responsible for developing and implementing strategic business development and marketing plans to drive growth and revenue.Key...


  • Mission, Texas, United States David Rozeff - State Farm Agent Full time

    ROLE DESCRIPTION:As an Account Manager for David Rozeff - State Farm Agent, you play a vital role in our daily business operations and customers' success. You foster meaningful client relationships and act as a liaison between customer needs and agency departments, improving the lives of our customers by proactively marketing relevant products and...


  • Mission, Texas, United States Prime Healthcare Full time

    OverviewMission Regional Medical Center, a member of Prime Healthcare, is seeking a skilled PACU Registered Nurse to join our team of dedicated professionals. As a PACU Registered Nurse, you will be responsible for providing high-quality patient care through the nursing process of assessment, planning, implementation, and...