- Elevance Health (Indianapolis, IN)
- ** 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 (Indianapolis, IN)
- …Candidates must live within 50 miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care Analyst Sr.** is responsible for ... analytical support to the Cost of Care and/or Provider ... contract negotiators, Medical Directors and management on cost of care issues to help reduce… more
- Elevance Health (Indianapolis, IN)
- …metrics. * Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of ... and interpersonal skills is preferred. * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- Intermountain Health (Indianapolis, IN)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… more
- Elevance Health (Indianapolis, IN)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- AON (Indianapolis, IN)
- …Comparison to include changes in exposure, losses, coverage terms and conditions and cost of risk + Contract Review + Responsible for ensuring proper ... adjustments and premiums on polices and other insurance and provider documents + Lead, measure and report on ongoing...changes in exposure, losses, coverage terms and conditions and cost of risk + Contract Review +… more
- IMSolutions, LLC (Indianapolis, IN)
- …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
- Lilly (Indianapolis, IN)
- …environments. + Knowledge of cGMP operation requirements. + Validated skills in contract negotiation leading to cost savings. + Experience in pharmaceutical ... the sourcing process from strategy development and supplier selection through contract negotiations and ongoing relationship management. The person in this position… more
- Elevance Health (Southport, IN)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... (BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an...and Experiences:** + Experience working with older adults in care management, provider or other capacity, highly… more
- Elevance Health (Frankfort, IN)
- …and other locations as necessary. + Experience working with older adults in care management, provider or other capacity, highly preferred. + Experience managing ... the IN PathWays for Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- Innovation Associates, Inc. (Indianapolis, IN)
- …strategic role, you will drive sourcing initiatives that deliver innovation, cost savings, supplier performance improvements, and working capital efficiencies. Your ... management of multimillion-dollar indirect materials and services supply base, driving cost optimization, supplier performance, and risk management. + Initiate and… more
- Humana (Indianapolis, IN)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Lilly (Indianapolis, IN)
- …to include ownership of an operational rhythm, supplier performance and contract management. The **Associate Director - Global Materials Planning** - **Oral ... consolidated forecasting, plan validation, risk mitigation, supplier performance and contract compliance for a critical business platform/category. The role is… more
- Elevance Health (Indianapolis, IN)
- …programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Sedgwick (Indianapolis, IN)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Fluor (Indianapolis, IN)
- …members in technology specific skills * Execute studies as required and/or needed to provide cost effective facilities * Train team members in client business ... Consumer Goods, and Sustainable Products and Technology. Do you care about Safety and Sustainability like we do at...contract , scope of work, execution plan, the schedule, cost estimate, and risk documents * Plan and conduct… more
- Sedgwick (Indianapolis, IN)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Prime Therapeutics (Indianapolis, IN)
- …+ Book of Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest, ... contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Intermountain Health (Indianapolis, IN)
- …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies,… more
- Sedgwick (Indianapolis, IN)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more