Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Manager Network Management - Medicaid Program

Expired Job

Hcsc Austin , TX 78719

Posted 3 months ago

Job ID: EMO-1027865 Description:

Located in either Austin, Houston, Richardson, San Antonio, Waco Texas - this position is responsible for the oversight of Medicaid as it relates to network management: provider recruitment, credentialing, contracting, claims / servicing activities and education, monitoring reimbursement arrangements. Responsible for analyzing the networks regularly for provider accessibility and availability and network adequacy requirements according to Texas Medicaid Health Plan, reporting deficiencies; assessing the competitive position of the networks; and strategizing for competitive advantage within Medicaid arena.


  • Bachelor Degree and 3 years health care administration or managed care operations experience OR 7 years health care administration/managed care operations.

  • 2 years network management experience for Texas Medicaid.

  • 3 years management experience.

  • Experience and knowledge of Texas Medicaid Regulations requirements and regulations.

  • Financial acumen in health care administration.

  • Analytical and planning skills.

  • Negotiation and contracting skills.

  • Clear and concise verbal and written communication skills including presentation skills.

  • Experience with interacting with all levels of corporate personnel and providers.

  • Relationship building acumen to develop relationships with providers.

  • Leadership skills.

  • Ability to travel, including overnight stays


  • Bachelor's degree.

  • TMHP Texas Medicaid Health Plan regulations.

  • Proficient with State of TX UMCM, Uniform Managed Care Manual Guidelines.

  • Familiar with FCP - federal coder regulations, OIG Office of Inspector General.

  • Willing and able to travel up to 20%, include overnight stays.

  • Experience writing Policy & Procedures: strong written communication, regulatory interpretation and application and implementation, workflows.

  • Liaison for interdepartmental Committees, ex. quality, network, compliance, etc.

This position can be located in one of the following Texas locations: Austin, Houston, Richardson, San Antonio, Waco.

Relocation is not provided at this time.

Sponsorship is not provided at this time.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Expertise Government Programs, Network Management / Provider Relations Job Type Full-Time Regular Location TX - Waco, TX - Richardson, TX - Austin, TX - San Antonio, TX - Houston

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Program Manager Headcount Management


Posted 5 days ago

VIEW JOBS 12/11/2018 12:00:00 AM 2019-03-11T00:00 We're looking for a Program Manager who is extremely detail oriented, efficient, and a creative problem solver to join our new Business Headcount Management team at Facebook. The Program Manager will demonstrate strong program management skills - analytical and detail-oriented, creative problem solver, ability to build and execute a project plan, and a proven track record of effectively facilitating cross-functional teams to deliver results. The Program Manager will be responsible for day-to-day headcount management to meet the evolving needs of Enterprise Engineering. RESPONSIBILITIES * Manage all day-to-day headcount changes/management and work with HR and Recruiting when changes affect team sizes in terms of job role and/or location Collect, analyze and report data to drive improvements and iterate on headcount programs Work closely with Finance and HRBPs to drive long term location strategy Collaborate with Tech Mission Control on inputs for SWE/bootcamp hiring Ensure internal headcount management tools are clean to accurately report on job profile, titles, etc. Assist HRBPs to drive HC/organizational strategy Analyze trending data, in terms of correct ratios and report these ratios to assist in long term planning POC for recruiting on all requisition/headcount needs Assist Finance in determining HC reallocation scenarios Partner with UR Grad team to determine number of interns, new grads for UR each year Partner with vendors to ensure we are appropriately staffing our contractors and be the POC to ensure team is as efficient as possible MINIMUM QUALIFICATIONS * 4+ years program and/or project management experience Experience manipulating data/data analytics or data modeling Experience working with finance or HR teams Experience managing multiple projects Experience influencing, communicating, and presenting at all levels of the organization Analytical, problem solving and troubleshooting experience Experience creating and sustaining productive relationships with both technical and non-technical people PREFERRED QUALIFICATIONS * BA/BS degree in Engineering, Finance or HR Facebook Austin TX

Manager Network Management - Medicaid Program

Expired Job