- Humana (Atlanta, GA)
- …and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional who initiates, negotiates, and executes physician, ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- IMSolutions, LLC (Atlanta, GA)
- … Contracting . + Required minimum certification: Federal Acquisition Certification in Contracting (FAC-C) ( Professional ). + Must be proficient in Microsoft ... Acquisitions Specialist II, Federal Contracting - Contingent Remote Full Time \#1222 -...+ Ability to plan and organize work independently. + Provide input on operational improvements, program policies, procedures, and… more
- Deloitte (Atlanta, GA)
- …Qualifications/What you will bring to the table: + Strong understanding of professional services contracting lifecycle with an emphasis on technology services ... provisions and risk review, negotiations, operations, and operational aspects of professional services contracts. Recruiting for this role will end on 12/31/2024.… more
- Deloitte (Atlanta, GA)
- …consultation and contracting review of scope of work/SOW documents + Provide guidance on contracting and negotiation strategies and ensure cross-functional ... and be the trusted advisor on multiple accounts + Provide mentoring and training to Risk Management colleagues and... processes, including terms and conditions + Knowledge of professional services contracting lifecycle with an emphasis… more
- Deloitte (Atlanta, GA)
- …of the government contracting landscape, as a result of the contracting professional 's focus on complying with internal and external policies, regulations, ... public sector in three ways. + The prime contracts professional understands the external client problem/ requirement. + The...recall and reflect on the impact and purpose our contracting support provides to the GPS. enables. Recruiting for… more
- Public Buildings Service (Atlanta, GA)
- …1. All of a, b, and c below: (a) Completion of Training/Certification: FAC-C ( Professional ) or DoD Contracting Professional Certification. (b) At least ... agency and/or Government acquisition regulations regarding the full range of contracting functions; the application and interpretation of agency policies, guides and… more
- CVS Health (Atlanta, GA)
- …impact by: . Leading the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners. . Owning relationships ... who will partner with business development leaders to build innovative and strategic provider relationships as part of the National Value Base Care (VBC) Business… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …solutions that elevate B2B partnerships and drive the transformation of our contracting processes. The successful candidate will work closely with Product Owners ... (POs) to support the evolution of our corporate and agency contracting solutions. This role is crucial for translating product strategy into executable squad backlog… more
- IMSolutions, LLC (Atlanta, GA)
- Technicial Writer, Federal Contracting - Contingent Remote Full Time \#1214 - Client Services Mid Level Share ... experienced Technical Writer to fill an exciting opportunity working in federal government contracting supporting BPA Call Orders. This will be a remote, hybrid, or… more
- Elevance Health (Atlanta, GA)
- …provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... scale initiatives with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and supports all aspects… more
- Elevance Health (Atlanta, GA)
- …Requires a BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include prior ... ** Provider Network Manager Senior** **Location:** This position will...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Elevance Health (Atlanta, GA)
- …Requirements:** + BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include prior ... Provider Network Manager Sr. - Contract Negotiator (JR136497)...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Elevance Health (Atlanta, GA)
- …Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects… more
- Elevance Health (Atlanta, GA)
- …responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... + Recommends standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a financial impact perspective.… more
- Elevance Health (Atlanta, GA)
- …Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving ... on large-scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop a contracting strategy and support all… more
- Elevance Health (Atlanta, GA)
- …Business Partners, Operations, IT, Change Management, and others as needed. + Provider contracting experience and/or process understanding. + Experience with ... strategy, and execution of a product from conception to implementation for provider experience strategic initiative.** PRIMARY DUTIES: + Developing and guiding the… more
- Elevance Health (Atlanta, GA)
- …updates + Trains customer service staff on system issues + Works with provider contracting staff when new/modified reimbursement contracts are needed **Required ... experience; or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + CPC and CPC-A license… more
- CVS Health (Atlanta, GA)
- …to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. + ... arrangements, and regulatory requirements **Preferred Qualifications:** + Minimum 3+ years contracting for large facilities or provider groups + Proven working… more
- CenterWell (Atlanta, GA)
- …meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The MSO Growth Lead will be the subject matter ... negotiations, providing key insights that advance agreements with new provider partners + Provide national and local...**Requirements** + A minimum of five years experience in provider engagement and/or provider contracting … more
- HealthEdge Software Inc (Atlanta, GA)
- …and healthcare plan operations (eg, claim life cycle/workflow, network contracting , payment/policy configuration, provider relations, medical management, medical ... Healthcare plan operations (eg, claim adjudication life cycle/workflows, network contracting , payment/policy related configuration, provider relations, medical… more