- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Richmond, VA)
- ** 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
- Elevance Health (Richmond, VA)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- The Cigna Group (Richmond, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the...and project the financial impact of larger or complex provider contracts and alternate contract terms. +… more
- Humana (Richmond, VA)
- …an accomplished healthcare leader for the position of Regional Vice President (RVP) Provider Contracting. The RVP will provide executive leadership to the ... AL, TN or Southwest Virginia) and have deep expertise with the provider community and contracting. He/she will have extensive business leadership experience, with… more
- CVS Health (Richmond, VA)
- …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
- 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
- Fresenius Medical Center (Richmond, VA)
- …planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships ... with managed care organizations and other third party payors regarding rate...establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments.… more
- Highmark Health (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …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
- HCA Healthcare (Richmond, VA)
- …internal accounting workflow aligned with the organization's strategic objectives. . Contract Management and Network Attribution developing monthly provider ... lives of our patients. We are an office environment, provide telephonic patient care and work with...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Prime Therapeutics (Richmond, VA)
- …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
- Western Digital (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …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
- Oracle (Richmond, VA)
- …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
- 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. This position reports to the Senior Vice President,… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …and resource to managers and others. + Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on the ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our...to his or her age, specific needs and to provide the care needed as described in… more
- Bon Secours Mercy Health (Midlothian, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... and confidential matters effectively. Able to express opinions openly and honestly and provide feedback in a timely and productive manner. Ability to examine and… more