- Elevance Health (Wilmington, DE)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Wilmington, DE)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Prime Therapeutics (Trenton, NJ)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Trenton, NJ)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- The Cigna Group (Philadelphia, PA)
- …Plans. + Skills in provider network development and management, value-based care contract execution including risk sharing. + Strong strategic acumen, ... contract performance teams to rate renewal targets, unit cost and overall claim trend targets are met. +...Design innovative contract solutions such as measurement-based care , case rates or preferred provider networks,… more
- St. Luke's University Health Network (Allentown, PA)
- …the communities we serve, regardless of a patient's ability to pay for health care . The Supply Chain Contract Manager will oversee the contracting portfolio of ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...with Network department leaders and strategic vendor partners on contract negotiations to provide additional value such… more
- Elevance Health (Wilmington, DE)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- Elevance Health (Wilmington, DE)
- ** Provider Network Management Director Sr** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a ... PulsePoint location. The ** Provider Network Management Director Sr** is responsible for guiding...renewal strategies that transition from fee-based reimbursement to value-based care . * Participating in strategic network discussions. * Overseeing… more
- CVS Health (Trenton, NJ)
- …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... 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
- Prime Therapeutics (Trenton, NJ)
- …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 ... passion and drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this… more
- System One (Ewing, NJ)
- …identifying opportunities for process improvements. + Provide master data and standard cost support to all plants and contract manufacturing for plan and ... Senior Cost Accountant Location: Ewing, NJ Shift/Schedule: M -...Pay rate: $38-$49/hr (Based on experience) Duration: 3 month contract , with possible extension or conversion to perm Duties… more
- Humana (Trenton, NJ)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and… more
- CVS Health (Trenton, NJ)
- …other key internal teams to develop a value based strategic plan and manage contract performance with targeted provider groups to ensure we meet state guidelines ... 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
- Option Care Health (Trenton, NJ)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Centene Corporation (Trenton, NJ)
- …as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to ... to improve and enhance care and quality delivery for members in a cost -effective manner + Performs other duties as assigned + Complies with all policies and… more
- Robert Half Finance & Accounting (Fort Washington, PA)
- …the energy industry in the Greater Philadelphia region. The Director of Customer Care is tasked with the ongoing enhancement of an exceptional customer experience, ... top-tier service quality in both inbound and outbound Customer Care operations. This Director of Customer Care ...well as vendor relations, to maximize operational efficiency and cost -effectiveness. + Motivate and direct a team of customer… more
- CVS Health (King Of Prussia, PA)
- …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
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... events, root cause analysis). + Life safety (environment of care ); Provide for a detailed assessment and...human resource and education files for center employees and contract personnel. E. Maintain Center Survey readiness + Assess… more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... events, root cause analysis). + Life safety (environment of care ); Provide for a detailed assessment and...human resource and education files for center employees and contract personnel. Maintain Center Survey readiness: + Assess center… more
- HomeSafe Alliance (King Of Prussia, PA)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more