- 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 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
- 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
- Elevance Health (Richmond, VA)
- **Behavioral Health Care Manager II** **Shift:** Monday - Friday; 8:00am - 5:00pm EST **Location:** Virtual within the state of Virginia **Virtual:** This role ... unless an accommodation is granted as required by law._ The **Behavioral Health Care Manager II** is responsible for managing psychiatric and substance abuse or… 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
- 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
- Humana (Richmond, VA)
- …Professional contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct ... integrity, or healthcare data analytics, preferably within a managed care or payer environment. + Advanced proficiency in data...following systems: CAS, CISpro and CIS + Experience with provider contract payment analysis and knowledge of… more
- Humana (Richmond, VA)
- …driven Budgeting, Forecasting and Reporting, GL Accounting for Humana Military, Contract Accounting, Government Cost Accounting and Proposal Pricing. FP&A ... manner (including revenue and expense recognition. Will include oversight of the contract accounting function (including Health Care cash flow reconciliation and… 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 ... Purpose of Position** Provides in-person guidance and support to the providers, care teams, and affiliates in clinical integration initiatives that supports the… more
- UMB Bank (Richmond, VA)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. This position reports to the Senior Vice President,… 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
- Bon Secours Mercy Health (Mechanicsville, 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
- Evolent (Richmond, VA)
- …years of professional experience in claims-based healthcare analytics with a payer, provider , clinical vendor, managed care , or related healthcare consulting ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Owens & Minor (Richmond, VA)
- …facilities across the US and 22,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care ... and implemented. + Handles all Enterprise-wide support issues (e-Business, pricing, contract terms, etc.). + Coordinates information and leads all contract… more