- CVS Health (Atlanta, GA)
- …internal and external customers. Required Qualifications 5+ years of experience in value-based care in contracting , provider relations, provider ... impact by: Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. Developing relationships… more
- Western Digital (Atlanta, GA)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . Negotiation and Contracting : Lead negotiations with suppliers on ... Manages compliance to contracting terms and proactively develops and manages contracting metrics Cost Optimization: Drive cost -saving initiatives within… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …IT department, as well as technology used across divisions. This includes contracting for hardware, software, professional services, and managed services. Skills and ... execution of sourcing strategies. This includes supplier selection, negotiation, and contracting , in close partnership with legal, information security, and finance… more
- Molina Healthcare (Atlanta, GA)
- …for Medicaid, Marketplace and Medicare/MMP. Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. Assist Quality ... interpolation, and other statistical methodologies to predict future trends in cost , utilization, and performance. Assist with research, development and completion… more
- The Clorox Company (Alpharetta, GA)
- …this role, you will:** + Strategy development, sourcing, forecasting, negotiation, contracting , supplier management, and leadership of cross functional teams + ... sourcing work - Plan and lead projects/ sourcing initiatives for the contracting of goods and/or services from US and international suppliers. Includes investigation… more
- Elevance Health (Atlanta, GA)
- ** 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 (Atlanta, GA)
- ** Cost of Care / Provider Contracting Data Analyst Senior** **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 (Atlanta, GA)
- …Senior** provides the highest level of 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
- Elevance Health (Atlanta, GA)
- …Provides the highest level of 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 Qualifications:** + Experience providing… more
- CVS Health (Atlanta, GA)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Elevance Health (Atlanta, GA)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- Molina Healthcare (Atlanta, GA)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- Elevance Health (Atlanta, GA)
- …adjustment). + Cost of Care Optimization (clinical analytics, care management platforms, provider performance tools). + Oversee end-to-end solution ... tools). + Deep understanding of medical cost drivers, utilization management, provider reimbursement models, and care quality measures. + Experience leading… more
- Molina Healthcare (Atlanta, GA)
- …out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Centene Corporation (Atlanta, GA)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Molina Healthcare (Atlanta, GA)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- CVS Health (Atlanta, GA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our...Three or more years of experience in network management, contracting , or related healthcare network functions. + One or… more
- Western Digital (Atlanta, GA)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . + **Negotiation and Contracting :** Lead negotiations with suppliers ... Manages compliance to contracting terms and proactively develops and manages contracting metrics + ** Cost Optimization:** Drive cost -saving initiatives… more
- Highmark Health (Atlanta, GA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
