- Elevance Health (Wilmington, DE)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Wilmington, DE)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Elevance Health (Wilmington, DE)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- Elevance Health (Wilmington, DE)
- ** Provider Network Management Director Sr** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a ... PulsePoint location. The ** Provider Network Management Director Sr** is responsible for guiding...renewal strategies that transition from fee-based reimbursement to value-based care . * Participating in strategic network discussions. * Overseeing… more
- Robert Half Finance & Accounting (Fort Washington, PA)
- …the energy industry in the Greater Philadelphia region. The Director of Customer Care is tasked with the ongoing enhancement of an exceptional customer experience, ... top-tier service quality in both inbound and outbound Customer Care operations. This Director of Customer Care ...well as vendor relations, to maximize operational efficiency and cost -effectiveness. + Motivate and direct a team of customer… more
- CVS Health (King Of Prussia, PA)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... events, root cause analysis). + Life safety (environment of care ); Provide for a detailed assessment and...human resource and education files for center employees and contract personnel. E. Maintain Center Survey readiness + Assess… more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... events, root cause analysis). + Life safety (environment of care ); Provide for a detailed assessment and...human resource and education files for center employees and contract personnel. Maintain Center Survey readiness: + Assess center… more
- HomeSafe Alliance (King Of Prussia, PA)
- …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
- The Cigna Group (Philadelphia, PA)
- …for the **Network Contractor** role among early-career employees. Our training program will provide you with an in-depth understanding of what it takes to succeed in ... healthcare network development and provider (ie, physicians and hospitals) contracting. Throughout this multi-week...providing the highest quality of healthcare at the lowest cost to our customers. + As a new Network… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... + A key area for the role is to provider customer service and relationship management for partners of...will also work closely with third party vendors to provide guidance in the design, installation, modification, support, and… more
- Takeda Pharmaceuticals (Exton, PA)
- …Flex application. + Act as subject matter expert and provide cross-functional training on contract operations. **Minimum** **Requirements/Qualifications:** ... employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice… more
- Planate Management Group LLC (Camden, NJ)
- …and scheduling of project contractors to meet quality standards, schedule requirements, cost goals, and contract compliance. + Interpret and explain plans ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- Penn Medicine (Philadelphia, PA)
- …the cost benefits of product changes for standardization and/or contract /vendor changes and makes recommendations for action to hospital leadership * For ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Merck (West Point, PA)
- …one or more projects. These opportunities in our **Global Support Functions** Division can provide you with great development and a chance to see if we are the ... Our company in the United States and Canada, is a global health care leader with a diversified portfolio of prescription medicines, vaccines, and animal health… more
- Burns & McDonnell (Conshohocken, PA)
- …required. + Manage internal project financials, providing detailed, accurate project cost forecasts and accruals to client(s) and internal organization leadership. + ... teams, coordinate activities of multiple disciplines, and ensure the efficient, cost -effective utilization of staff. + Manage all aspects of project communication.… more
- Planate Management Group LLC (Wilmington, DE)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... quality control, and submittal reviews beyond the expertise of construction managers + Provide quality assurance for ongoing projects, and serve as a mentor to fewer… more
- ATI Physical Therapy (Newark, DE)
- …accordance with local and state practice acts and aligned with the affiliate contract . This position provides skilled care to affiliate athletes including ... Incentive Bonus Programs!** **Stronger Together:** ATI is a leading provider of athletic training services in the United States...well as collaborating with ATI's clinics on proper athlete care management where applicable. + Provide onsite… more
- Elevance Health (Wilmington, DE)
- …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 (Philadelphia, PA)
- 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