- Teleflex (Chicago, IL)
- …Continually expands network of customer champions. + Demonstrates knowledge of provider landscape and company pricing/ contracting structure. Expert in ... **Requisition ID** :13078 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our...team environment. In concert with the sales leadership team, provide technical expertise to the sales team in the… more
- Elevance Health (Chicago, IL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Chicago, IL)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Health Care Service Corporation (Chicago, IL)
- …network / care management solutions; direction and expansion of value based care provider contracting (patient center medical home, ACO, bundled payment ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Health Care Service Corporation (Chicago, IL)
- …for a motivated lawyer to provide counsel relating to complex contracting , including vendor, provider network, producer/customer, and strategic sourcing ... evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and...help advance HCSC's goal of expanding access to quality, cost -effective health care to help people live… more
- Abbott (Abbott Park, IL)
- …Management, Finance, Forecasting, Contract Operations, and Access Strategies teams to provide strategic contracting partnership and analytical insights to ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...levels. As a Senior Manager of Strategic Pricing & Contracting , you will be responsible for managing contract development… more
- Elevance Health (Chicago, IL)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- Elevance Health (Chicago, IL)
- …adjustment). + Cost of Care Optimization (clinical analytics, care management platforms, provider performance tools). + Oversee end-to-end solution ... tools). + Deep understanding of medical cost drivers, utilization management, provider reimbursement models, and care quality measures. + Experience leading… more
- Health Care Service Corporation (Chicago, IL)
- … Care environment, including 3 or more years of hands-on experience in Provider Contracting , Network Management, or Provider Relations + Proven planning, ... the contracted working relationship with the health plan. The Provider Vertical Leader works to identify the business plan...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Health Care Service Corporation (Chicago, IL)
- …of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value provider partners are ... this Leader and their team will be responsible for contracting all medical agreements across these markets. The role...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Health Care Service Corporation (Chicago, IL)
- …for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and ... more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools… more
- Health Care Service Corporation (Chicago, IL)
- …projects as required or requested. JOB REQUIREMENTS: *Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting ... experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Health Care Service Corporation (Chicago, IL)
- …for multiple assigned areas. **Job Requirements:** + Bachelor's degree and 4 years provider contracting experience OR Master's degree and 3 years contracting ... experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience...HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members… more
- Huron Consulting Group (Chicago, IL)
- …clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services ... such as patient-centered medical homes (and other characteristics of enhanced primary care ) as well as contracting vehicles (clinically integrated networks… more
- Health Care Service Corporation (Chicago, IL)
- …**Job Summary** This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of ... and maintaining relationships with providers. This role will also provide support for complex hospital and physician contracting...and at least one year experience developing and negotiating provider contracts OR 5 years managed care … more
- Health Care Service Corporation (Chicago, IL)
- …more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost -effective health care and equipping our members with information and tools ... implement additional Medical Drug initiatives (eg preferred drug strategies, site of care , rebate strategies). * Set up governance structure and process for… more
- Health Care Service Corporation (Chicago, IL)
- …software + Knowledge of health care reimbursement models. + Experience in provider and vendor negotiations and contracting models, provider relation and ... + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + Familiarity… more
- Option Care Health (Itasca, IL)
- …us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care , so we are investing in a culture that ... (listed in order of importance and/or time spent)** + Provide comprehensive, hands-on patient care including assessments,...resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than… more
- Huron Consulting Group (Chicago, IL)
- …pricing outcomes by performing test adjudication and reconciling variances. + Partner with Provider Contracting , Claims, Finance, and IT teams to support new ... immense pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in...reimbursement models. + Strong knowledge of claims adjudication and provider contracting workflows. + Ability to analyze… more
- CDM Smith (Chicago, IL)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
