- 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 ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- …Senior** provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Richmond, VA)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- …of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- …of Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Richmond, VA)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- The Cigna Group (Richmond, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative… 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 ... business leadership experience, with several years in a managed care environment leading contracting for Medicare products....Master's or JD degree + Record of success leading provider contracting and provider engagement… more
- The Cigna Group (Richmond, VA)
- …**Physician & Ancillary Contracting Manager** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- HCA Healthcare (Richmond, VA)
- …Contracting , Healthtrust GPO, specific target vendors, etc. to identify new contracting opportunities and to maximize cost reductions for existing ... Coordinate, communicate and share intelligence with other service line contracting teams to assist and improve upon cost...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Elevance Health (Richmond, VA)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- The Cigna Group (Richmond, VA)
- …- will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of...cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with… more
- Elevance Health (Richmond, VA)
- …adjustment). + Cost of Care Optimization (clinical analytics, care management platforms, provider performance tools). + Oversee end-to-end solution ... tools). + Deep understanding of medical cost drivers, utilization management, provider reimbursement models, and care quality measures. + Experience leading… more
- CVS Health (Richmond, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our...Three or more years of experience in network management, contracting , or related healthcare network functions. + One or… more
- Western Digital (Richmond, VA)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . + **Negotiation and Contracting :** Lead negotiations with suppliers ... Manages compliance to contracting terms and proactively develops and manages contracting metrics + ** Cost Optimization:** Drive cost -saving initiatives… more
- Highmark Health (Richmond, VA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- Prime Therapeutics (Richmond, VA)
- …(PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible ... specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Oracle (Richmond, VA)
- …time estimates. + Gather, analyze, and document LOE data to prepare accurate project cost estimates for contracting purposes. + ** Contracting & Budgeting:** ... them turn data into lifesaving decisions and better patient care . We want people just as dedicated as we...the capture of the level of effort (LOE) for contracting work. This role will be essential in bridging… more
- Oracle (Richmond, VA)
- …to market by managing pipeline intake and ensuring seamless engagement during contracting and estimating of Non-Recurring Costs (NRCs) with lease providers. This ... with precision and urgency. As a manager, you will provide strategic and operational leadership for a team of...maintain intake processes that balance speed with rigor. + ** Contracting & NRC Estimation** + Lead engagement with lease… more
- Trane Technologies (Richmond, VA)
- …customers to identify and develop turnkey design-build solutions and energy savings contracting projects, including scope of work development, cost estimating, ... for Acquisition Support of both Design-Build Turnkey and Energy Performance Contracting project work. This position requires mastery of acquisition, technical… more