- Elevance Health (Richmond, VA)
- …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
- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of ... be discussed as part of the hiring process. 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
- 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
- Intermountain Health (Richmond, VA)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… 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
- 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
- Humana (Richmond, VA)
- … experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance. The Value-Based Programs Analyst ... us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on… more
- Planate Management Group LLC (Richmond, VA)
- …duration to the Government construction manager and Contract Specialist + Provide potential corrective scopes and cost estimates for modification(s) to the ... government representative or contract specialist/officer and provide technical assistance to assist in answering requests for information (RFI) from construction… 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
- Bon Secours Mercy Health (Mechanicsville, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... established benchmarks including hold buckets. + Ensures scheduling of staff to promote provider productivity as well as promote quality care and fiscal… more
- Lumen (Richmond, VA)
- …fixed price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Manages large budgets and complex ... (PMO). BIM is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN)...cost /spend plans. Provides guidance and direction to assigned Program… more
- Sharecare (Richmond, VA)
- …-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
- Lumen (Richmond, VA)
- …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
- 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
- Humana (Richmond, VA)
- …+ Health Care experience + Credentialing, Auditing - Peer Audits, Contract Load, Service Fund, Directories or CIS experience + Provider Network ... customers. Credentialing Operations bonds the trust between patient and provider . Come join our organization and assist us in...and microwave connection can be used only if they provide an optimal connection for associates. The use of… 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 ... the execution of all projects associated with the program. They will provide critical project support for maintaining, tracking and controlling project documentation… more
- Humana (Richmond, VA)
- …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
- Intermountain Health (Richmond, VA)
- …business owners accountable to our pre-identified goals and objectives. + Provide regular updates on category performance, strategic initiatives, and market trends ... further develop and strengthen the department. + Support Business Stakeholder in Contract Lifecycle Management of assigned contract portfolio. + Support Sourcing… more