• Provider Contract Cost

    Elevance Health (Richmond, VA)
    ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** 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
    Elevance Health (10/11/24)
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  • Provider Contract / Cost

    Elevance Health (Richmond, VA)
    …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
    Elevance Health (11/05/24)
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  • Provider Contract / Cost

    Elevance Health (Richmond, VA)
    ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. **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 (11/16/24)
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  • Provider Contract Cost

    Elevance Health (Richmond, VA)
    ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. 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 (10/11/24)
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  • Provider Contract Analyst Senior

    Elevance Health (Richmond, VA)
    Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider more
    Elevance Health (11/05/24)
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  • Provider Contracting Lead Analyst…

    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 (10/23/24)
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  • Senior Manager, Behavior Provider Network…

    CVS Health (Richmond, VA)
    …strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. . ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (10/20/24)
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  • Manager, Physician & Ancillary Contracting…

    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 (10/23/24)
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  • Administrative Director of Nursing ( RN )…

    Bon Secours Mercy Health (Midlothian, 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 (11/12/24)
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  • Behavioral Health Care Manager II

    Elevance Health (Richmond, VA)
    …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
    Elevance Health (10/23/24)
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  • Contracts Specialist, Federal Government -…

    IMSolutions, LLC (Richmond, VA)
    …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
    IMSolutions, LLC (08/28/24)
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  • Construction Contracts and Strategic Sourcing…

    Federal Reserve Bank (Richmond, VA)
    …identify and report disparities, and research relevant information. + Perform price/ cost analysis and contract administration tasks. + Collaborate across ... our communities. Bring your passion and expertise, and we'll provide the opportunities that will challenge you and propel...includes tuition assistance, generous paid time off, top-notch health care benefits, child and family care leave,… more
    Federal Reserve Bank (10/31/24)
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  • Orthopedic Account Director- Maryland/ Virginia

    J&J Family of Companies (Richmond, VA)
    …comprehensive and broadly-based manufacturer of healthcare products, as well as a provider of related services, for the Innovative Medicines, and MedTech markets. We ... strive to provide scientifically sound, high-quality products and services to help...+ Set the standard for maximizing revenue and minimizing cost to serve across the aligned market. + Develop… more
    J&J Family of Companies (11/14/24)
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  • Pharmacist Account Manager - New York Remote

    Prime Therapeutics (Richmond, VA)
    …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... 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… more
    Prime Therapeutics (11/01/24)
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  • Specialist Bill Review II

    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 ... PURPOSE** : To review hospital and professional medical bills from provider including complex hospital, surgical, high level evaluation and management codes,… more
    Sedgwick (11/13/24)
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  • Director Contracts & Procurement

    Elevance Health (Richmond, VA)
    …of the Elevance Health, Inc. family of companies, we're creating greater access to care for our members, greater value for our customers, and greater health for our ... Join us and together we will drive the future of federal health care . **The Director of Contracts & Procurement** is responsible for Elevance Health's federal… more
    Elevance Health (11/08/24)
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  • Project Manager - Consumer Products (Multiple…

    Burns & McDonnell (Richmond, VA)
    …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
    Burns & McDonnell (10/29/24)
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  • Senior Operations Research Analyst

    System One (Rockville, VA)
    …guide in the investigation of a problem to determine appropriate solutions. + Provide Cost estimation techniques, methods, and tools for planning, estimating, ... join our team in support of a federal IT contract . Position Overview As a Senior Operations Research Analyst,...and monitoring cost , budget, or schedule. + Provide Cost -benefit analyses to determine if a… more
    System One (10/03/24)
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  • Assistant General Counsel - Supplier Contracts

    Ferguson Enterprises, LLC. (Richmond, VA)
    …opportunity for an **Assistant General Counsel - Supplier Contracts** . This role will provide legal advice and guidance on supplier contract issues to a variety ... Outlook) and leading contract management systems (Ironclad preferred). At Ferguson, we care for each other. We value our well-being just as much as our hard… more
    Ferguson Enterprises, LLC. (11/14/24)
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  • Claims Adjuster - Liability

    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
    Sedgwick (11/12/24)
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