- Elevance Health (Indianapolis, IN)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** 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 (Indianapolis, IN)
- …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 (Indianapolis, IN)
- ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point 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
- 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 ... Tampa, FL or Nashville, TN. 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)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- Sedgwick (Indianapolis, IN)
- …ancillary provider contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...quality program(s). **QUALIFICATIONS** **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Ascension Health (Anderson, IN)
- …opportunity for the right candidate to partner with Ascension Scatterfield Road Primary Care to provide medical services to patients. **Position Highlights:** + ... diagnostic studies. Perform preventative health assessments, screening, immunization and patient care . + Provide direct treatment and management of health… 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
- Intermountain Health (Indianapolis, IN)
- …to reoccurring issues. Identifies problems and process improvement practices and provide solutions related to benefit designs, provider relations, financial ... SHOBE, EDI, or other electronic enrollment systems), billing reconciliation, contract compliance, and other identified areas. MARKETING MATERIALS: Orders and… more
- Prime Therapeutics (Indianapolis, IN)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... 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… 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 ... PURPOSE** : To review hospital and professional medical bills from provider including complex hospital, surgical, high level evaluation and management codes,… more
- Elevance Health (Indianapolis, IN)
- …of the Elevance Health, Inc. family of companies, we're creating greater access to care for our members, greater value for our customers, and greater health for our ... Join us and together we will drive the future of federal health care . **The Director of Contracts & Procurement** is responsible for Elevance Health's federal… 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
- Amentum (Indianapolis, IN)
- …for union employee benefits and analyzes union benefits demands. Obtains and prepares cost data for company and union proposals and final settlements. + Process ... reports such as benefits utilization, trend analysis, claims, fees, and provider performance evaluations + Assists in administration of benefits enrollment process,… more
- Elevance Health (Southport, 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
- BrightSpring Health Services (Indianapolis, IN)
- …full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living ... is a pharmacy medication management solution for patients with complex, polychronic care needs residing at home and in senior living.This high touch pharmacy… more
- Sargent & Lundy (Indianapolis, IN)
- …(PMO) in support of transmission and distribution Capital Projects. The role will provide oversight and guidance to project controls personnel, including cost ... Project Controls best practices and deliverables, including but not limited to: + Cost management, forecasting, cost analysis and reporting + Progress tracking,… 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