- Humana (Columbus, OH)
- …Law Department. This Counsel position will be a part of Humana's Health Plan Contracting team within the Law Department and provide legal counsel primarily for ... issues related to Humana's provider network and contracts. This Counsel position will exercise...(iii) analyzing contracts and providing legal advice on complex contracting questions and issues. **Work Location:** This Counsel position… more
- Molina Healthcare (MS)
- …contracting , network management and credentialing. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the ... departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role negotiates contracts with the Complex… more
- Elevance Health (Indianapolis, IN)
- …provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... and management on cost of care issues. + Leads large scale initiatives with high dollar cost savings opportunities....with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and… more
- Elevance Health (Columbus, OH)
- …Consultant** will provide analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** * Focuses ... management on cost of care issues. * Works on large scale initiatives with high dollar cost savings opportunities....with high dollar cost savings opportunities. * Partners with provider contractors to develop contracting strategy and… more
- Elevance Health (Los Angeles, CA)
- …Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects… more
- Langan Engineering, Environmental, Surveying and Landscape… (New York, NY)
- …energy producers, energy companies, corporations, healthcare systems, colleges/universities, and large infrastructure programs throughout the US and around the ... a PFAS Market Lead for its growing national PFAS practice . This individual will serve a key function in...and manage client relationships and projects; + Develop and provide consultation on complex remedial treatment options; + … more
- CenterWell (Columbus, OH)
- …and requires an understanding of value-based agreements and primary care practice operations, including provider networks. The Strategy Advancement Advisor ... planning support for business segments or the company at large . The Strategy Advancement Advisor works on problems of...key insights that advance agreements with existing and new provider partners + Provide national and local… more
- Johns Hopkins University (Baltimore, MD)
- …inform Division Chiefs, faculty, and Administrator of any problems or discrepancies. + Provide , review, and analyze the clinical practice finances of the ... discrepancies. + Develop faculty profit and loss statements with quarterly reporting. + Provide , review, and analyze the clinical practice finances of the… more
- Sanofi Group (Columbus, OH)
- …(SAMs) responsible for developing and executing value-aligned vaccine programming for large regional health systems, state awardees, and PBG's across the US. ... solutions, and co-solutioning, Quality Initiatives, Health Equity Initiatives, Financial contracting , and other health system levers into tangible growth strategies.… more
- HCA Healthcare (Jacksonville, FL)
- …to facility-level physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation on ... initiatives that support the provision of consistent clinical performance and practice standards across the hospital. The CMO provides senior-level leadership to… more
- The County of Los Angeles (Los Angeles, CA)
- …specialized legal knowledge in healthcare or acts as principal legal advisor to a large County department or special district. This class is the first level at which ... SELECTION REQUIREMENTS Five (5) years of experience in the practice of *public agency law, or civil law in...AT THE TIME OF FILING, you are encouraged to provide a copy of your resume, which details relevant… more
- Intermountain Health (Murray, UT)
- …department. The Manager identifies and promotes the changes needed to provide cost-effective quality pharmacy benefits to members. Schedule Regular business hours ... of pharmacy benefit management (PBM) programs including drug manufacturer contracting , P&T Committee activities, physician communication/education, retail/community pharmacy, NCQA… more
- Hackensack Meridian Health (Edison, NJ)
- …Planning** is responsible for the coordination and completion of physician practice financial modeling across the Hackensack Meridian Health (HMH) physician division ... Analysts. Ensures timely, complete and accurate physician compensation payments for provider fixed and variable compensation. + Coordinates the execution and… more
- Centene Corporation (New York, NY)
- …with a minimum of six years in HMO provider relations, contracting and network development or large physician/ provider organizations.Pay Range: ... preferred** **Position Purpose:** Manages the most complex national Advanced Practice Partnerships (APP), supporting enterprise KPIs, goals and growth. Responsible… more
- Sanofi Group (Bridgewater, NJ)
- …implement Digital Solutions, including AI, to expedite and automate core pricing and contracting functions. + Lead and develop a prioritized and strategic path to ... significantly improve the internal and customer experience for contracting functions such as, but not limited to, contract...market access + Experience in people management or leading large cross functional projects a plus + Experience in… more
- Parsons Corporation (Pasadena, CA)
- …Vice President & Manager of Engineering to lead a growing Parsons Federal engineering practice . **We would prefer to have this role reside in our Pasadena, CA ... dollar design and design build programs + Supervise a large -scale organization of 300 designers and engineers across the...facilitate technical conversations and to growth the business + Provide site leadership for the Pasadena primary design site… more
- Boston Public Schools (Boston, MA)
- …alignment Lead teams and teachers using feedback and teaming protocols to change practice Provide professional learning and coaching on best practices for ... report to the new OMME Director and/or Executive Director and will provide direct coaching and support to site-based principals, instructional leadership teams and… more
- Sanofi Group (Bridgewater, NJ)
- …the Vaccine BU V&A brand budget. + Participate with the brand planning and provide input into brand strategy development for + Lead development and ensure alignment ... of all pricing/ contracting strategies with the pricing team, tactics and initiatives...utilizing HEOR drivers for payors and/or formulary committees of large health systems. + Working understanding of strategic pricing… more
- Turner & Townsend (Santa Barbara, CA)
- …at Turner & Townsend Heery exceeds client expectations - adding value, best practice and expertise at every turn. The team's unique client-centric culture is ... in Santa Barbara. The Senior Construction Project Manager will monitor large , complex construction projects for clients, with direct accountability for project… more
- Mount Sinai Health System (New York, NY)
- …(CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee schedule access, interpretation, compliance and ... problem resolution. This role develops and maintains strong payer and provider relationships and positively positions the MSHP IPA in both communities. This position… more