- 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 Consultant** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of ... be discussed as part of the hiring process. 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 (Indianapolis, IN)
- …Candidates must live within 50 miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care Analyst Sr.** is responsible for ... analytical support to the Cost of Care and/or Provider ... contract negotiators, Medical Directors and management on cost of care issues to help reduce… more
- Intermountain Health (Indianapolis, IN)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… 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
- Humana (Indianapolis, IN)
- … experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance. The Value-Based Programs Analyst ... us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on… more
- Elevance Health (Indianapolis, IN)
- …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
- 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
- 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
- Humana (Indianapolis, IN)
- …trends, cost saving measures and create operational efficiencies + Provide strategic support for departmental, WI Market and enterprise wide initiatives and ... resolving the resolution to a claim inquiry; Service center associates for Provider and Member calls; enrollment and configuration activities; and oversight of… 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
- Humana (Indianapolis, IN)
- …+ Health Care experience + Credentialing, Auditing - Peer Audits, Contract Load, Service Fund, Directories or CIS experience + Provider Network ... customers. Credentialing Operations bonds the trust between patient and provider . Come join our organization and assist us in...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- Elevance Health (Southport, 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
- Innovation Associates, Inc. (Indianapolis, IN)
- …strategic role, you will drive sourcing initiatives that deliver innovation, cost savings, supplier performance improvements, and working capital efficiencies. Your ... management of multimillion-dollar indirect materials and services supply base, driving cost optimization, supplier performance, and risk management. + Initiate and… 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
- Intermountain Health (Indianapolis, IN)
- …business owners accountable to our pre-identified goals and objectives. + Provide regular updates on category performance, strategic initiatives, and market trends ... further develop and strengthen the department. + Support Business Stakeholder in Contract Lifecycle Management of assigned contract portfolio. + Support Sourcing… 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