- 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
- Point32Health (Canton, MA)
- …. **Job Summary** Under the direction of the Point32Health Manager, Allied Health Contracting, the Contract Manager, Allied Health Contracting ... Key activities include determination of network needs, evaluation of prospective providers , development of reimbursement strategies, and contract negotiation and… more
- Elevance Health (Atlanta, GA)
- …SAS, PowerPoint, Tableau, Power BI, and Excel strongly preferred. + Previous health insurance experience strongly preferred. + Independent and self-motivated ... with multiple provider types including the most complex, high-profile providers . + Supports a full range of contract...project lead. + Uses analytic tools to track both health risks and compliance, as well as supporting the… more
- Elevance Health (ME)
- …contracting and negotiating contract terms. Typically works with the most complex providers . Complex providers may include, but are not limited to large ... institutional providers , large medical groups and ancillary providers ,...provide an equivalent background. **Preferred Qualifications:** + 3 years contract negotiation experience, preferably within health plan/managed… 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
- CVS Health (Sacramento, CA)
- …analysis of contracts. Facilitate dispute resolution and settlement negotiations with providers , as applicable. Ensures contract performance aligns with ... Bring your heart to CVS Health . Every one of us at CVS ...for lines of business (Medicare and Commercial). + Manages contract performance in support of network quality, availability, and… 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
- Intermountain Health (Murray, UT)
- …with the Microsoft Office suite including Word and Excel Demonstrated knowledge of health insurance professional, facility, ancillary (DME, Home Health ) ... **Job Description:** The Contract Integrity Specialist for Select Health ...establish and maintain rapport with co-workers, physicians, or other health care providers Ability to perform job… more
- Dignity Health (Bakersfield, CA)
- …options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We ... This position is remote** **within California** **.** The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build… 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
- 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
- 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
- CVS Health (Topeka, KS)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose… 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 ... and serve as a liaison between the DCF and providers . The incumbent must have knowledge of contract...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
- 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
- Idaho Division of Human Resources (Boise, ID)
- …interact with other IDHW programs, care providers , network service providers , and Medicaid members as ahealthcare services contract monitorlocated inBoise. ... Healthcare Services Contract Monitor - MED Posting Begin Date: 2024/10/31...Pay Rate Type: Hourly Description DEDICATED TO STRENGTHENING THE HEALTH , SAFETY, AND INDEPENDENCE OF IDAHOANS This is an… more