- Elevance Health (Charleston, WV)
- …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
- The Cigna Group (Charleston, WV)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- Sedgwick (Charleston, WV)
- …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
- HomeSafe Alliance (Charleston, WV)
- …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 (Charleston, WV)
- …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
- Humana (Charleston, WV)
- …The Service Fund Senior Value-Based Programs Analyst supports our Market and Provider partners through ensuring Provider payments and settlements are complete, ... of value-based contracts + Supports the markets in all value-based contract administration strategies and supports implementation of those strategies through regular… more
- Intermountain Health (Charleston, WV)
- …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
- Amentum (Charleston, WV)
- …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 (Charleston, WV)
- …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 (Charleston, WV)
- 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
- Humana (Charleston, WV)
- …with vendors, ensuring optimal pricing and alignment with IT standards. + ** Contract and License Management:** Reviews and manages licenses and contracts to ... technology solutions, and collaborates with internal business partners to develop cost -effective strategies that are aligned with business objectives. Leads the… more
- Sedgwick (Charleston, WV)
- 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
- Humana (Charleston, WV)
- …The position analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The ... budgeting as well. Provides input into functions strategy. + Provide market specific financial leadership in the state Medicaid...short- and long-term plan objectives + Responsible for identifying cost trends and leadership of cost improvement… more
- IMSolutions, LLC (Charleston, WV)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more
- Cadmus (Charleston, WV)
- …/ estimates to completion (EACs / ETCs) for multiple projects of varying contract type, size, complexity, and risk level. They will work closely with project ... managers to provide recommendations on managing project financials and support financial...the natural world. We offer competitive compensation, outstanding health care and retirement benefits, a vibrant and collaborative work… more
- Cardinal Health (Charleston, WV)
- …mission is to empower community oncology practices to deliver patient-centered cancer care . Navista, a Cardinal Health company, is an oncology practice alliance ... + Identify and drive automation and processes improvements to improve the cost of serve for practices. + Executive stakeholder management and communication. +… more
- Cardinal Health (Charleston, WV)
- …The company provides clinically proven medical products, pharmaceuticals and cost -effective solutions that enhance supply chain efficiency from hospital to ... Health connects patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years… more
- IMSolutions, LLC (Charleston, WV)
- …**This position is contingent on the award of a federal contract .** IMSolutions seeks an experienced Subject Matter Expert to fill an ... on the Task Order assigned. As the **Subject Matter Expert,** you will provide guidance and direction for specific tasks of a project. Specific expertise in… more
- IMSolutions, LLC (Charleston, WV)
- …**This position is contingent on the award of a federal contract .** IMSolutions seeks a strategic and experienced Mid-Level Facilitator to fill ... needs. + Effectively manage stakeholders, difficult conversations, and team dynamics. + Provide coaching and advising to client teams and leaders on organizational… more
- IMSolutions, LLC (Charleston, WV)
- …**This position is contingent on the award of a federal contract .** IMSolutions seeks anAcquisition Specialist IIto fill an exciting opportunity supporting ... and procedures. + Ability to plan and organize work independently. + Provide input on operational improvements, program policies, procedures, and internal controls.… more