- Memorial Hermann Health System (Houston, TX)
- …order to provide an exceptional level of collaborative, quality patient-centered care . With approximately 200 providers and over 60 clinics, MHMG creates the ... (four Interventional and two Non-Invasive) with strong Advanced Practice Provider support. Practice & Hospital Details Primary inpatient responsibilities at… more
- Memorial Hermann Health System (Katy, TX)
- …order to provide an exceptional level of collaborative, quality patient-centered care . With approximately 200 providers and over 60 clinics, MHMG creates the ... physician-employed network, is seeking a BC/BE Internal Medicine or Family Medicine provider for a full-time Nocturnist position at our Katy campus. BC/BE Internal… more
- Memorial Hermann Health System (Bellaire, TX)
- …order to provide an exceptional level of collaborative, quality patient-centered care . With approximately 200 providers and over 60 clinics, MHMG creates the ... in a primarily outpatient setting Strong referral base and collaborative care model Access to Memorial Hermann's advanced cardiac imaging, diagnostics, and… more
- Memorial Hermann Health System (The Woodlands, TX)
- …order to provide an exceptional level of collaborative, quality patient-centered care . With approximately 200 providers and over 60 clinics, MHMG creates the ... Established in 2006, the Memorial Hermann Medical Group (MHMG) includes primary care physicians, specialists and advanced practice providers who all share a single… more
- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Lake Mary, FL)
- …of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Atlanta, GA)
- …of Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- The Cigna Group (Mclean, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative… more
- CareFirst (Baltimore, MD)
- …the use of provider data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement inquiries and develops cost ... + Strong understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager. This role assists in developing the...cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... and code data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement...healthcare, business or related field. 1 year experience in contracting , provider recruitment or provider … more
- The Cigna Group (Jersey City, NJ)
- …area. Will be required to go into the NYC office 3 days per week._** The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of...cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with… more
- The Cigna Group (Toledo, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- The Cigna Group (Sunrise, FL)
- The ** Provider Contracting Manager** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting . ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...**.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex… more
- Corewell Health (Southfield, MI)
- …years of proven experience leading negotiations directly and independently or leading a provider contracting team in negotiations + Experience in finance or ... compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally,...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...visited offices via phone at home + Identifying, recruiting, contracting , and retaining qualified health care professionals… more
- Point32Health (Canton, MA)
- …Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and… more
- Health Care Service Corporation (Tulsa, OK)
- …network / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- CVS Health (Frankfort, KY)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation… more
- Elevance Health (Mason, OH)
- …Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
