- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Value Based Contract / Cost of Care Consultant **Job Description:** **Value Based Contract / ... of Care Consultant** The **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider … more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-10-07 **Position Title:** Provider Contract / Cost of Care Consultant **Job Description:** ** Provider Contract / ... 50 miles of one of our PulsePoint locations. 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
- 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
- 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
- Prime Therapeutics (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …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
- InGenesis (Caroline County, VA)
- InGenesis is currently sourcing Advanced Practice Provider - Psychiatric candidates to work with our client. In this role, you will provide healthcare under the ... Welfare - additional per hour rate to help offset cost of insurance. * 2 weeks of PTO *...of complex psychiatric conditions. * Coordinates mental health patient care , off-site referrals, and collaborative duties through scheduled appointments,… more
- InGenesis (Caroline County, VA)
- …emergency within 4 minutes, where a fast walk or jog may be necessary to provide assistance. * Required to perform CPR/emergency care standing or kneeling. * ... InGenesis is currently sourcing Advanced Practice Provider candidates to work with our client. In...work with our client. In this role, you will provide healthcare under the scope of a collaborative practice… more
- Humana (Richmond, VA)
- …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
- Option Care Health (Richmond, VA)
- …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
- 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)
- …include, but are not limited to: + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... **Anticipated End Date:** 2024-11-01 **Position Title:** Nurse Care Mgr I (US) **Job Description:** The Nurse...or any combination of education and experience, which would provide an equivalent background. + Current, active valid unrestricted… 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
- 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
- The Cigna Group (Richmond, VA)
- …for the **Network Contractor** role among early-career employees. Our training program will provide you with an in-depth understanding of what it takes to succeed in ... healthcare network development and provider (ie, physicians and hospitals) contracting. Throughout this multi-week...providing the highest quality of healthcare at the lowest cost to our customers. + As a new Network… 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
- Planate Management Group LLC (Richmond, VA)
- …IMC, IPC, and International Building Code + Ability to provide accurate cost estimates and evaluate contract change orders + Proficient in project management ... shop drawings + Assist the government in developing estimates of quantities and cost estimates for construction projects + Provide general engineering support… more
- Highmark Health (Richmond, VA)
- …configurations and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into ... to benefits, business rules, screen design and functionality, templates, workflows, provider contracts, user task analysis, personalization to different plans, and… more
- Elevance Health (Richmond, VA)
- …more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medically necessary, quality healthcare in a cost effective setting according to contract . +...and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management… 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