- Elevance Health (Richmond, VA)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** 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 (Richmond, VA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. 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)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- Prime Therapeutics (Richmond, VA)
- …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 (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
- CVS Health (Richmond, VA)
- …strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. . ... 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
- Liberty Utilities (Gloucester, VA)
- …and as an employee team. As the successful candidate Our Mission We provide safe, secure, reliable, cost -effective and sustainable energy and water solutions. ... Lead, Environment (6 month contract ) Tyler, TX, US, 75703Ozark, MO, US, 65721Forsyth,...56159 **At** **Algonquin-Liberty** **, we hire passionate people who care about doing the right thing for our customers.… 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
- Bon Secours Mercy Health (Petersburg, VA)
- …and resource to managers and others. + Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on the ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our...to his or her age, specific needs and to provide the care needed as described in… more
- Elevance Health (Richmond, VA)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The process does not involve clinical ... **Managed Care Coordinator** Location: Candidate must reside within 50...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- Elevance Health (Richmond, VA)
- …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
- IMSolutions, LLC (Richmond, VA)
- …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
- Prime Therapeutics (Richmond, VA)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... 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… more
- Planate Management Group LLC (Richmond, VA)
- …analysis of requirements for cost , labor, and/or materials; evaluation and advice on cost estimates and contract change orders + Skill in the use of ... with technical support centers in South East Asia and East Africa, that provide program management and facilities engineering services worldwide. Planate is a small… more
- Siemens (Richmond, VA)
- …colleagues around the globe and help us create environments that care ._** Siemens Smart Infrastructure intelligently connects energy systems, buildings and ... for all markets and through all sales channels. We provide reliable power distribution grids of today while investing...managing and optimizing targeted financial results with due professional care (eg project gross profit, cash flow, assets and… more
- Burns & McDonnell (Richmond, VA)
- …required. + Manage internal project financials, providing detailed, accurate project cost forecasts and accruals to client(s) and internal organization leadership. + ... teams, coordinate activities of multiple disciplines, and ensure the efficient, cost -effective utilization of staff. + Manage all aspects of project communication.… more
- Elevance Health (Richmond, VA)
- …programs._ The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Sedgwick (Richmond, VA)
- 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
- Planate Management Group LLC (Richmond, VA)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... generation, and plumbing. Key responsibilities: + Designing and implementing cost -effective equipment modifications to help improve safety, reliability and… more
- IMSolutions, LLC (Richmond, VA)
- …to join our team within our National Oceanic and Atmospheric Administration (NOAA) contract . **This position is 100% remote.** As a **Deputy Program Manager,** you ... will assist the Program Manager with the day-to-day operations of the NOAA contract . You will have a critical role in delivering our next phase of growth with… more