- Elevance Health (Durham, NC)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. 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
- CVS Health (Raleigh, NC)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 3 + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...years experience with provider contract negotiation or provider … more
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... guidelines and other regulatory and accreditation standards. **Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex… more
- UNC Health Care (Morrisville, NC)
- … cost models for departments, service lines, procedures, and payers. + Provide actionable insights to support pricing strategies, contract negotiations, and ... the unique communities we serve.** **Summary:** This position leads the system-wide cost accounting and decision support function for an integrated healthcare system… more
- UNC Health Care (Morrisville, NC)
- …COO, CAO/CFO). This leader will develop and implement a program to advance high quality/low- cost health care delivery to support the mission and core values of ... strategy for regional and statewide clinical integration, maximizing value contract performance management, fostering payor relationships, and evaluating advanced… more
- Elevance Health (Durham, NC)
- …for overseeing and monitoring healthcare services to insure quality, compliance, and cost -effectiveness. Coordinate care across providers and settings to improve ... plans and ensure they are appropriate, high quality, and cost -effective. + Coordinate care between delegated ...determinants of health, to meet the member's needs and provide patient education. + Escalate member crises, or quality… more
- UNC Health Care (Chapel Hill, NC)
- …counseling and clarification of insurance issues to help facilitate access to and provide continuity of care for transplant patients. The Transplant Financial ... and pharmacy representative to ensure that patient is receiving care as defined by the contract . Contacts...with patient and/or family members with emphasis on the cost of transplantation. Advises patient on how to apply… more
- Highmark Health (Raleigh, NC)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- UNC Health Care (Raleigh, NC)
- …scale projects, and recommend proposals as appropriate to upper management. Develop cost estimates and provide recommendations for corrective work. 7. Negotiate ... the facilities and spaces owned, leased, and maintained by the UNC Health Care System. Responsibilities: 1. Assess and Manage work priorities and goals for ongoing… more
- CVS Health (Raleigh, NC)
- …with contracting requirements, policies, and approvals. + Routing and tracking contract activities to ensure timely implementation into provider databases ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UNC Health Care (Morrisville, NC)
- …grounds, facilities, and infrastructure for NC Children's. **Responsibilities** : 1. Provide overall management of multiple construction project plans, budgets, and ... project management teams, and contractors to facilitate project activities. Provide leadership, management, and supervision for professional and technical personnel… more
- UNC Health Care (Morrisville, NC)
- …of real estate transactions and the design and build process of UNC Health Care 's off campus portfolio. Reporting to the Executive Director of Real Estate and ... broader cross-functional teams. 4. Create recovery strategies when timelines are disrupted. Provide updates on key project milestones, monitor and update budget as… more
- Red Hat (Raleigh, NC)
- …you ready to apply your cloud engineering expertise to optimize and automate cloud cost management? Join Red Hat's Hybrid Cloud Management (HCM) team as a Senior ... Cloud FinOps Engineer and help implement effective cloud cost optimization solutions. In this role, you'll collaborate with...GCP + Strong analytical skills to identify inefficiencies and provide actionable insights from cloud data + Expertise in… more
- Deloitte (Raleigh, NC)
- …and advisory services, covering areas such as valuation modeling, cost optimization, restructuring, business design and transformation, infrastructure and real ... employment of data, and delivery of products and services that embrace new care models. They advise both corporate and private equity buyers with M&A transactions… more
- Western Digital (Raleigh, NC)
- …The ideal candidate will have extensive experience in supplier negotiations, contract management, cost reduction strategies, and commodity market analysis. ... key supplier relationships, driving strategic sourcing initiatives, and ensuring cost -effective procurement across specific commodity categories. This is a principal… more
- Oracle (Raleigh, NC)
- …impact related to data center, network, and server infrastructure + **Strategic Deal Cost Modeling:** Provide critical financial and cost -structure insight ... **Job Description** Are you an expert at dissecting and optimizing the massive cost structures behind **global cloud infrastructure** ? Do you thrive on the… more
- CVS Health (Raleigh, NC)
- …inbound representative you will be responsible for taking inbound Brokerage calls to provide application status, contract and appointment status. + In addition ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Raleigh, NC)
- …the data infrastructure that supports various downstream departmental processes, including provider contract review and interpretation and maintenance of ... expert (SME) for the creation and implementation of Humana's Primary Care Physician Recognition programs, including Model Practice, Patient-Centered Medical Home,… more
- Ally (Raleigh, NC)
- …will support the enablement and management of contracts and initiate contract amendments, renewals, and terminations. The Technology Sourcing Manager will lead ... transparency, innovation, and continuous improvement, delivering measurable value across cost , quality, and risk management while elevating Ally's technology… more