• Provider Contract / Cost

    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 (12/12/24)
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  • Provider Contract Cost

    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 ... of our Pulse Point locations. 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 (12/21/24)
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  • Contract Manager

    Sedgwick (Richmond, VA)
    …hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
    Sedgwick (12/18/24)
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  • Provider Contracting Lead Analyst…

    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 (10/23/24)
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  • Clinical RN Comp Care - Remote

    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
    Sharecare (12/17/24)
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  • Manager, Hospital Contracting - VA/DC/MD market

    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 (12/13/24)
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  • Manager, Physician & Ancillary Contracting…

    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 (10/23/24)
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  • Administrative Director of Nursing - Acute…

    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
    Bon Secours Mercy Health (11/21/24)
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  • Engineering Technician (Secret Clearance)…

    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
    Planate Management Group LLC (12/03/24)
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  • Behavioral Health Care Manager II - ABA

    Elevance Health (Richmond, VA)
    …for autism and depression, and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager II - Applied Behavioral Analysis** ... Must have a Clinical License Or BCBA certification The **Behavioral Health Care Manager II** is responsible for managing psychiatric and applied behavioral analysis,… more
    Elevance Health (12/21/24)
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  • RVP Network Contracting- SE Region (VA/NC)

    Humana (Richmond, VA)
    …toward improving the health of the communities we serve. The RVP will also provide executive leadership to the Provider Contracting, in support of Humana's ... extensive business leadership experience, with several years in a managed care environment leading a network development/ provider relations function, including… more
    Humana (12/24/24)
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  • Contracts Specialist, Federal Government -…

    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
    IMSolutions, LLC (11/27/24)
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  • Practice Manager - Physician Office - Tuckahoe…

    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
    Bon Secours Mercy Health (11/30/24)
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  • Operations Manager Federal -Department of the Air…

    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
    Lumen (12/11/24)
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  • Project Manager - Consumer Products (Multiple…

    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
    Burns & McDonnell (10/29/24)
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  • Liability Claims Team Lead

    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 ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide more
    Sedgwick (12/24/24)
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  • Project Coordinator - Real Estate and Construction

    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
    Bon Secours Mercy Health (12/21/24)
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  • Senior Operations Research Analyst

    System One (Rockville, VA)
    …guide in the investigation of a problem to determine appropriate solutions. + Provide Cost estimation techniques, methods, and tools for planning, estimating, ... join our team in support of a federal IT contract . Position Overview As a Senior Operations Research Analyst,...and monitoring cost , budget, or schedule. + Provide Cost -benefit analyses to determine if a… more
    System One (10/03/24)
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  • Inpatient Medical Coding Auditor

    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
    Humana (12/12/24)
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  • Director Healthcare Economics & Trend Analytics

    Baylor Scott & White Health (Richmond, VA)
    **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
    Baylor Scott & White Health (12/21/24)
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