- CVS Health (Baton Rouge, LA)
- …dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage ... handles dispute resolution and settlement negotiations with solo and group Behavioral Health providers for all lines of business (Medicare, commercial etc.).… more
- CVS Health (Sacramento, CA)
- …analysis of contracts and deliver dispute resolution and settlement negotiations with providers . This role will ensure contract performance aligns with ... Bring your heart to CVS Health . Every one of us at CVS ...more personal, convenient and affordable. **A Brief Overview** The Contract Negotiation Manager will construct negotiation, execution, review, and… more
- Medical Mutual of Ohio (OH)
- …are preferred_** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more ... includes exposure to provider contracting and/or provider payment structures and health insurance claims, or equivalent relevant experience. Technical Skills… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Consultant** **We are offering a $5,000 sign-on bonus for this position.** **Location:** This position will work a hybrid I model ... miles one of our Pulse Point locations. The **Provider Contract /Cost of Care Consultant** will provide analytical support to...project lead. * Uses analytic tools to track both health risks and compliance, as well as supporting the… more
- State of Massachusetts (Quincy, MA)
- MassHealth is Massachusetts's Medicaid and Children's Health Insurance Program (CHIP). MassHealth provides comprehensive, affordable health care coverage for ... equitably promote health , well-being, independence, and quality of life. The Contract Management and Operations (CM&O) team is part of the Office of Accountable… more
- MyFlorida (Tallahassee, FL)
- …an accredited college or university. Benefits of Working for the State of Florida: + Health insurance + Life insurance ; $25,000 policy is free plus option ... adoption, domestic violence, adult protective services, refugees, homelessness, mental health , substance abuse, childcare providers , human trafficking and… more
- Elevance Health (Woburn, MA)
- …equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Previous health insurance experience strongly preferred. + Client-facing experience ... **Provider Contract Cost of Care Analyst Senior** **Location:** This...+ Researches the financial profitability/stability and competitive environment of providers to determine impact of proposed rates. + Projects… more
- St. Luke's University Health Network (Allentown, PA)
- …excellence as we care for the sick and injured; educate physicians, nurses and other health care providers ; and improve access to care in the communities we ... serve, regardless of a patient's ability to pay for health care. The Contract Payment Analyst is...Payment Analyst is responsible for monitoring the accuracy of insurance payments via the variance report and resolving issues.… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... within 50 miles of one of Elevance's Pulse Point locations. **The Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of… more
- Elevance Health (St. Louis, MO)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... Mason, OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of… more
- MetroLink (Los Angeles, CA)
- Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply Senior Contract & Compliance ... OF POSITION Metrolink is seeking a highly skilled Senior Contract and Compliance Administrator to join our Contracts and...EEO/ADA MEDICAL: SCRRA offers a choice of twelve (12) health plan options provided through the California Public Employees'… more
- MyFlorida (Tallahassee, FL)
- … file containing the required contract related documents. + Communicates with assigned contract providers on a frequent basis and in a professional manner to ... CONTRACT MANAGER SPECIALIST - 60056631 - ESS Date:...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- The County of Los Angeles (Los Angeles, CA)
- …deficiencies. Provides health and substance abuse rehabilitation consultation services to contract providers , advising the providers on the utilization ... of Public Health is seeking qualified candidates to fill emergency Contract Program Auditor vacancies related to the homelessness crisis. Under the emergency… more
- Matrix Providers (Jacksonville, FL)
- …to Matrix. Matrix Providers is hiring a Nurse Practitioner (NP) Psychiatric-Mental Health to join our team of talented professionals who provide health care ... to 9 hour shift + Benefits: Competitive financial package with a comprehensive insurance package including health , dental, vision, and life coverage. + Accrued… more
- Matrix Providers (Aberdeen Proving Ground, MD)
- …7:30 AM and 6:30PM + Benefits: Competitive financial package with a comprehensive insurance package including health , dental, vision, and life coverage. + ... Pharmacist (Kirk US Army Health Clinic) Any State License Location: Aberdeen Proving Ground, MD, United States Healthcare Provider Type : Dental START YOUR… more
- Matrix Providers (Bremerton, WA)
- …7:30 am - 6 pm. + Benefits: Competitive financial package with a comprehensive insurance package including health , dental, vision, and life coverage. + Accrued ... Ophthalmology Technician/Technologist Bremerton Naval Health Center Location: Bremerton, WA, United States Healthcare Provider Type : Ancillary Services (MQS) START… more
- Matrix Providers (Aurora, CO)
- …where you will experience lower provider-to-patient ratios and fair, reliable schedules. Matrix Providers is hiring a Nurse Practitioner (Women's Health ) to join ... 7:30 AM to 4:30PM + Benefits: Competitive financial package with a comprehensive insurance package including health , dental, vision, and life coverage. + Accrued… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a(an) Senior Contract Manager Purchased Services today with HealthTrust. **Benefits** HealthTrust, offers a ... total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical… more
- Logan Health (Kalispell, MT)
- …Liaison with Stakeholders: Serve as the main point of contact for providers , internal departments, and insurance payers. Facilitate smooth communication between ... Job Description Summary: At Logan Health , we're more than just a healthcare provider-we're...we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your role… more
- WellSense (Boston, MA)
- Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... the WellSense Health Plan, a growing regional health insurance company with a 25-year history...members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible for the development, implementation and… more