- Elevance Health (Wilmington, DE)
- …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
- Sedgwick (Dover, DE)
- …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
- Highmark Health (Dover, DE)
- …meetings, deliverables, resources etc. for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative ... markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk...and workflow across the continuum of variability in primary care and experience in managing provider and… more
- Sharecare (Dover, DE)
- …-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
- Centene Corporation (Dover, DE)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned +… more
- IMSolutions, LLC (Dover, DE)
- …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 (Dover, DE)
- …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
- PSEG (Salem County, NJ)
- …PSEG offers a unique experience to our more than 12,000 employees - we provide the resources and opportunities for career development that come with being a Fortune ... 500 company, as well as the attention, camaraderie and care for one another you might typically associate with a small business. Our focus on combatting climate… more
- Planate Management Group LLC (Wilmington, DE)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... quality control, and submittal reviews beyond the expertise of construction managers + Provide quality assurance for ongoing projects, and serve as a mentor to fewer… more
- Sedgwick (Dover, DE)
- 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 (Dover, DE)
- …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
- PSEG (Salem, NJ)
- …PSEG offers a unique experience to our more than 12,000 employees - we provide the resources and opportunities for career development that come with being a Fortune ... 500 company, as well as the attention, camaraderie and care for one another you might typically associate with a small business. Our focus on combatting climate… more
- Baylor Scott & White Health (Dover, DE)
- **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
- Intermountain Health (Dover, DE)
- …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies,… more
- Sedgwick (Dover, DE)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Planate Management Group LLC (Wilmington, DE)
- …with technical support centers in South East Asia and East Africa, that provide program management and facilities engineering services worldwide. Planate is a small ... business provider of planning, design, infrastructure management, technical consulting, engineering,...to deliver impactful recommendations to optimize facility use. The contract has been awarded to Planate and the period… more
- IMSolutions, LLC (Dover, DE)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more
- Intermountain Health (Dover, DE)
- …Job Essentials 1.Works in association with Caregivers throughout Intermountain Healthcare to provide world class customer service and solve problems related to the ... items by; verifying submitted requisitions for accuracy, approval, compliance to contract , then generating and executing Purchase Orders. This may require minimal… more
- Sargent & Lundy (Wilmington, DE)
- …within budget. + Identify and track potential out of scope work, develop and provide scope changes, and coordinate with the client for approval. + Coordinate systems ... business development opportunities with existing and potential clients. + Perform and provide independent reviews of work performed by others, including scopes of… more
- Cadmus (Dover, DE)
- …/ estimates to completion (EACs / ETCs) for multiple projects of varying contract type, size, complexity, and risk level. They will work closely with project ... managers to provide recommendations on managing project financials and support financial...the natural world. We offer competitive compensation, outstanding health care and retirement benefits, a vibrant and collaborative work… more