- Elevance Health (Hanover, MD)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Value Based Contract / Cost of Care Consultant **Job Description:** **Value Based Contract / ... of Care Consultant** The **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider … more
- Prime Therapeutics (Annapolis, MD)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Annapolis, MD)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Annapolis, MD)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... passion and drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this… more
- CVS Health (Annapolis, MD)
- …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... 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
- Humana (Annapolis, MD)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and… more
- Option Care Health (Annapolis, MD)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- HomeSafe Alliance (Annapolis, MD)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more
- IMSolutions, LLC (Annapolis, MD)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Highmark Health (Annapolis, MD)
- …configurations and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into ... to benefits, business rules, screen design and functionality, templates, workflows, provider contracts, user task analysis, personalization to different plans, and… more
- Nightwing (Annapolis Junction, MD)
- …CODEX Business Unit in Annapolis Junction, MD. Nightwing is a leading provider of Cyberspace Operations, Vulnerability Research, Cyber Defense & Resiliency, Data ... security, law enforcement and civil affairs markets worldwide. This position will provide "cradle to grave" financial leadership and will be responsible for… more
- Parsons Corporation (Annapolis Junction, MD)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... expenses versus budget. Prepare draft amendments. + Ensure the prime contract file is maintained current with insurance certificates and correspondence. +… more
- Elevance Health (Hanover, MD)
- …most complex or elevated medical issues.** **Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of ... member access to medical necessary, quality healthcare in a cost effective setting according to contract +...or any combination of education and experience, which would provide an equivalent background. + Prior managed care… more
- Parsons Corporation (Greenbelt, MD)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... . As we continue supporting NASA, our mission is to provide engineering, construction, design-build, information technology, and program management services to… more
- Prime Therapeutics (Annapolis, MD)
- …of data. + Supports the account management team ensuring revenue goals are met, cost of care and administrative expenses are managed and segment profit targets ... assigned account (s). + Demonstrates a thorough knowledge of Cost of Care and implications internally and...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Elevance Health (Hanover, MD)
- …**How you will make an impact:** + Ensures medically appropriate, high-quality, cost -effective care through assessing the medical necessity of inpatient ... member access to medical necessary, quality healthcare in a cost -effective setting according to contract . + Collaborates...or any combination of education and experience, which would provide an equivalent background. + Prior managed care… more
- Parsons Corporation (Annapolis Junction, MD)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... key subcontractors. + Works to devise and execute actions plans to rectify potential cost overruns or delays, or to accommodate significant changes to the scope of… more
- Elevance Health (Hanover, MD)
- …administration of behavioral health medical services, to ensure the appropriate and most cost effective medical care is received. May be responsible for ... developing and implementing programs to improve quality, cost , and outcomes. May provide clinical consultation...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Elevance Health (Hanover, MD)
- …and post payment auditing. + Correlates review findings with appropriate actions ( provider education, recovery of monies, cost avoidance, recommending sanctions ... and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and … more
- Prime Therapeutics (Annapolis, MD)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... is responsible for performing multifaceted financial analyses to assess manufacturer contract performance, plan performance and to develop rebate estimates related… more