- Elevance Health (Atlanta, GA)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... within 50 miles of one of our Elevance Health PulsePoint locations The ** Provider Contract Cost of Care Consultant Senior** provides the highest level of… more
- Elevance Health (Columbus, OH)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Norfolk, VA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... of our Pulse Point locations. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- The Cigna Group (Scottsdale, AZ)
- …to in-person meetings with Providers AND several days work at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the ... total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist… more
- Avera (Sioux Falls, SD)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) ... implementation of broad based, tiered, and narrow network products and value-based contract arrangements. Also lead medical cost reduction programs to identify… more
- The Cigna Group (Independence, OH)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- The Cigna Group (Jackson, MS)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- UNC Health Care (Holly Springs, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... the health and well-being of the unique communities we serve. **_Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and is… more
- Marshfield Clinic (Marshfield, WI)
- …Provider Contract Specialist (Remote Option within SHP Service Area) ** Cost Center:** 682891544 SHP- Provider Network Mgmt **Scheduled Weekly Hours:** 40 ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager… more
- WellSense (Manchester, NH)
- … Manager facilitates development; implementation and management of new and current cost -effective provider networks for multiple products. Under the direction of ... a variety of provider entities across New Hampshire and will ensure contract terms and conditions comply with financial and legal requirements of Plan and its… more
- WellSense (Boston, MA)
- …is responsible for the development, implementation and management of a cost -effective provider network, maintaining complex and geographically diverse contracts. ... . Excellent benefits **Key Functions/Responsibilities:** . Interprets environmental (policy, contract , landscape, organizational) changes with contracting and provider… more
- MetroLink (Los Angeles, CA)
- Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply Senior Contract & Compliance ... SUMMARY PURPOSE OF POSITION Metrolink is seeking a highly skilled Senior Contract and Compliance Administrator to join our Contracts and Procurement team. This… more
- Molina Healthcare (KY)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- Veterans Affairs, Veterans Health Administration (Greenville, NC)
- …to opioid prescribing and trainings to fulfill and maintain designated women's health primary care provider . The incumbent may be expected to travel up to 25% ... care . Clinical Duties: Incumbent will be a GAP provider with focus of practice to maintain access to...Team (PACT), collaborating with clinical and administrative support to provide timely, quality, coordinated care for Veterans.… more
- Molina Healthcare (NV)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- CVS Health (Sacramento, CA)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 5+ years ... 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… more
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... during psychiatric hospitalization, including transfer to a higher level of medical care when needed.** **Summary:** An Advanced Practice Provider (APP)… more
- Molina Healthcare (CA)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... desire goals and reduce minimize the company's financial exposure. * Advises Network Provider Contract Specialists on negotiation of individual provider and… more
- HCA Healthcare (Nashville, TN)
- …for you to join HealthTrust which is part of the nation's leading provider of healthcare services, HCA Healthcare. The ** Contract Director of Strategic ... eligible. Do you have the career opportunities as a ** Contract Director Strategic Sourcing** you want with your current...will demonstrate expert knowledge and experience with managing total cost of ownership factors for Food and Nutrition related… more