- Prime Therapeutics (Springfield, IL)
- …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 (Springfield, IL)
- …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
- The Cigna Group (Springfield, IL)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Creates and/or oversees ... for the network solution. + Responsible for meeting unit cost targets, while preserving an adequate and marketable network,...experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team… more
- CVS Health (Springfield, IL)
- …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
- Prime Therapeutics (Springfield, IL)
- …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
- Humana (Springfield, IL)
- …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
- Centene Corporation (Springfield, IL)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned +… more
- Option Care Health (Springfield, IL)
- …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
- HomeSafe Alliance (Springfield, IL)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more
- IMSolutions, LLC (Springfield, IL)
- …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
- CVS Health (Springfield, IL)
- …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 ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. *Position is fully remote and open to… more
- Prime Therapeutics (Springfield, IL)
- …of data. + Supports the account management team ensuring revenue goals are met, cost of care and administrative expenses are managed and segment profit targets ... assigned account (s). + Demonstrates a thorough knowledge of Cost of Care and implications internally and...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Sedgwick (Springfield, IL)
- 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 ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Intermountain Health (Springfield, IL)
- …case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies, ... regulatory compliance tracking. Leads the dispute resolution process on contract items and ensures a high level of ...sourcing and / or category management within the health care industry. - and - Healthcare product knowledge **Physical… more
- Prime Therapeutics (Springfield, IL)
- …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 ... program and presents compelling recommendations to help improve program performance and cost savings. + Develops innovative unit cost and formulary utilization… more
- Prime Therapeutics (Springfield, IL)
- …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 ... initiatives are effective and completed in accordance to Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This position is… more
- Sedgwick (Springfield, IL)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** Our Government Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database ... and effectively allocate/reallocate database resources for optimal configuration, performance, and cost . + Support multiple services and multiple databases of medium… more
- Mitsubishi Chemical Group (Springfield, IL)
- …at the very heart of why we are in business. We will continue to provide solutions for the issues of society consistent with the aims of the international ... portfolio for the regional organization, enabling the most reliable and cost -effective purchasing experience possible in North America (leveraging economies of… more
- IMSolutions, LLC (Springfield, IL)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more