- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. 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 (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. 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 (Richmond, VA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. 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
- Elevance Health (Richmond, VA)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Elevance Health (Richmond, VA)
- …office. **Position Overview:** Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider ...modifications as applicable + Recommends standardized practices to optimize cost of care + Educates provider… more
- The Cigna Group (Richmond, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the...and project the financial impact of larger or complex provider contracts and alternate contract terms. +… more
- Humana (Richmond, VA)
- …an accomplished healthcare leader for the position of Regional Vice President (RVP) Provider Contracting. The RVP will provide executive leadership to the ... AL, TN or Southwest Virginia) and have deep expertise with the provider community and contracting. He/she will have extensive business leadership experience, with… more
- CVS Health (Richmond, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic leadership and… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned ... beneficiaries receiving care under the Autism Care Demonstration (ACD)....needs through communication and available resources to promote quality, cost -effective outcomes. Coordinate medical, behavioral and other services for… more
- Highmark Health (Richmond, VA)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- HCA Healthcare (Richmond, VA)
- …internal accounting workflow aligned with the organization's strategic objectives. . Contract Management and Network Attribution developing monthly provider ... lives of our patients. We are an office environment, provide telephonic patient care and work with...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Elevance Health (Richmond, VA)
- …successful criteria for the future. + Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary ... design participation, and operations. + Oversees the identification of potential cost of care savings opportunities through complex analytics, development… more
- Western Digital (Richmond, VA)
- …The ideal candidate will have extensive experience in supplier negotiations, contract management, cost reduction strategies, and commodity market analysis. ... key supplier relationships, driving strategic sourcing initiatives, and ensuring cost -effective procurement across specific commodity categories. This is a principal… more
- Oracle (Richmond, VA)
- …impact related to data center, network, and server infrastructure + **Strategic Deal Cost Modeling:** Provide critical financial and cost -structure insight ... **Job Description** Are you an expert at dissecting and optimizing the massive cost structures behind **global cloud infrastructure** ? Do you thrive on the… more
- CVS Health (Richmond, VA)
- …inbound representative you will be responsible for taking inbound Brokerage calls to provide application status, contract and appointment status. + In addition ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Richmond, VA)
- …the data infrastructure that supports various downstream departmental processes, including provider contract review and interpretation and maintenance of ... expert (SME) for the creation and implementation of Humana's Primary Care Physician Recognition programs, including Model Practice, Patient-Centered Medical Home,… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... patient testing or procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to… more