- 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 (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
- Elevance Health (Raleigh, 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
- 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)
- …from their analysis and develops recommendations to inform key decision makers + Provide input into performance monitoring and contract language to ensure ... 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
- Prime Therapeutics (Raleigh, NC)
- …value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the ... fashion. + Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancement)....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… 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
- 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)
- …non-routine Provider Refunds and Returned Checks. + Review and interpret medical contract language using provider contracts to confirm whether a claim is ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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
- Parsons Corporation (Raleigh, NC)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... planning and defining program goals, understanding client objectives, and navigating contract terms and corporate policies. **Why Parsons?** Parsons is committed to… more
- UMB Bank (Raleigh, NC)
- …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. This position reports to the Senior Vice President,… more
- RELX INC (Raleigh, NC)
- …and issue resolution, ensuring that deliverables meet quality, schedule, and cost requirements. Success in this role requires strategic thinking, strong ... stakeholders. + Ensure deliverables meet requirements for quality, schedule, and cost . + Manage project scope, change requests, and contractual considerations. +… more
- Biomat USA, Inc. (Research Triangle Park, NC)
- …experience across Biomat USA plasma centers. Role Purpose: Lead the Donor Care channel for Grifols as an outsourced/externally operated service, ensuring vendor ... KPIs and governance routines that drive donor satisfaction, retention, and cost ‑to‑serve optimization across all touchpoints (voice, chat, email, app). Scope: Own… more
- Oracle (Raleigh, NC)
- …availability' date - driving each performance metric (safety, quality, rates, schedule, cost , etc.) within critical timelines required by the business. + Manage ... metro strategies based on market expertise, within the context of time-to-market and cost efficiencies required by the business units. + Drive commercial terms with… more