- Molina Healthcare (Richmond, VA)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- UMB Bank (Richmond, VA)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Cayuse Holdings (Richmond, VA)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Elevance Health (Richmond, VA)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... **Managed Care Coordinator (VA Foster Care Program)**... Program, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Highmark Health (Richmond, VA)
- …years Experience working in an Actuarial Science capacity + 2 years Understanding of provider contract documents and overall contract management process + 1 ... 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
- Bon Secours Mercy Health (Mechanicsville, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... established benchmarks including hold buckets. + Ensures scheduling of staff to promote provider productivity as well as promote quality care and fiscal… more
- Sedgwick (Richmond, VA)
- …Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult contract surety bond claims; to provide resolution of highly complex ... Taking care of people is at the heart of...RESPONSIBILITIES** + Analyzes and processes complex or technically difficult contract surety (pay and performance) claims by investigating and… more
- CVS Health (Richmond, VA)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... framework to make financial decisions to resolve provider issues. Explain provider 's rights and responsibilities in accordance with contract . + Process claim… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... effectively. Able to express opinions openly and honestly and provide feedback in a timely and productive manner. Ability...**Human Resources:** + Ensures scheduling of staff to promote provider productivity as well as promote quality care… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …of clinic performance, including but not limited to: productivity, scheduling, cost efficiency, provider ongoing clinical performance reviews, staff yearly ... for a qualified and skilled Neurologist who will be responsible for direct patient care with various neurological disorders. They should be able to deliver quality … more
- Ford Motor Company (Richmond, VA)
- …at the best cost , with minimal risks to Ford Motor Credit Company + Provide feedback to valued supply partners on cost position relative to market to build ... and to accelerate the profitable growth of Ford Motor Company. We provide financing, personalized service and professional expertise to thousands of Ford and… more
- Prime Therapeutics (Richmond, VA)
- …solutions to Prime's clients to ensure Prime is delivering the highest quality and lowest cost of care to its members. The Trade Client Relations Senior Director ... of rebate guarantees, pharmaceutical manufacturer rebate agreements and drug trends; provide proactive strategic and cost saving consultation + Provides… more
- Sedgwick (Richmond, VA)
- 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
- HCA Healthcare (Richmond, VA)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- HCA Healthcare (Richmond, VA)
- …the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. ... reports and monitor periodic budget, and system analysis. Complete contract labor database and prepare various analysis on a...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Mondelez International (Richmond, VA)
- …%PM/CBM completion, PM Pillar progress, inventory value and accuracy, fixed cost management (spare parts, contract services, emergency purchases, labor). ... for maintenance and improvements in the production process. + Provide leadership and coaching to the maintenance team towards...requested by GDD (Day to Day Management). + Take care of the order, storage, and conservation of materials… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... people in mind, body, and spirit through exceptional patient care . Success in this goal requires a culture of...to build daily schedules including adjusting daily templates for provider time off. + Works with minimal supervision. +… more
- Prime Therapeutics (Richmond, VA)
- …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 ... area of Prime Therapeutics. This position is also responsible for assisting contract negotiators and working with other internal departments regarding the financial… more