- Elevance Health (Indianapolis, IN)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... within 50 miles of one of our Elevance Health PulsePoint locations The ** Provider Contract Cost of Care Consultant Senior** provides the highest level of… more
- Elevance Health (Indianapolis, IN)
- …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 (Indianapolis, IN)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... of our Pulse Point locations. 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
- Sedgwick (Indianapolis, IN)
- …hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Ascension Health (Anderson, IN)
- …a great opportunity for the right candidate to partner with Ascension Primary Care to provide medical services to patients. **Position Highlights:** + Flexible ... diagnostic studies. Perform preventative health assessments, screening, immunization and patient care . + Provide direct treatment and management of health… more
- Sharecare (Indianapolis, IN)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Elevance Health (Indianapolis, IN)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager II - Applied Behavioral Analysis** ... Must have a Clinical License Or BCBA certification The **Behavioral Health Care Manager II** is responsible for managing psychiatric and applied behavioral analysis,… more
- AON (Indianapolis, IN)
- …Comparison to include changes in exposure, losses, coverage terms and conditions and cost of risk + Contract Review + Responsible for ensuring proper ... adjustments and premiums on polices and other insurance and provider documents + Lead, measure and report on ongoing...changes in exposure, losses, coverage terms and conditions and cost of risk + Contract Review +… more
- IMSolutions, LLC (Indianapolis, IN)
- …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
- Lumen (Indianapolis, IN)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… more
- Elevance Health (Pendleton, IN)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... (BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an...and Experiences:** + Experience working with older adults in care management, provider or other capacity, highly… more
- Elevance Health (Pendleton, IN)
- …and other locations as necessary. + Experience working with older adults in care management, provider or other capacity, highly preferred. + Experience managing ... the IN PathWays for Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- Sedgwick (Indianapolis, IN)
- 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 ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Humana (Indianapolis, IN)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- BrightSpring Health Services (Indianapolis, IN)
- …full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living ... is a pharmacy medication management solution for patients with complex, polychronic care needs residing at home and in senior living.This high touch pharmacy… more
- Elevance Health (Indianapolis, IN)
- …more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medically necessary, quality healthcare in a cost effective setting according to contract . +...and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management… more
- Baylor Scott & White Health (Indianapolis, IN)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- Sedgwick (Indianapolis, IN)
- 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
- Fluor (Indianapolis, IN)
- …members in technology specific skills * Execute studies as required and/or needed to provide cost effective facilities * Train team members in client business ... Consumer Goods, and Sustainable Products and Technology. Do you care about Safety and Sustainability like we do at...contract , scope of work, execution plan, the schedule, cost estimate, and risk documents * Plan and conduct… more
- Sedgwick (Indianapolis, IN)
- 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 ... technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more