- Elevance Health (Smithfield, RI)
- …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
- CVS Health (Providence, RI)
- …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 ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Constructs negotiation, execution,… more
- Centene Corporation (Providence, RI)
- …+ Present financial, medical cost and quality performance data to provider leadership + Support value-based contract negotiations through the contract ... provider performance improvement strategy at the plan and provider levels + Analyze and interpret cost ...to optimize clinical workflow to increase member outreach and care coordination + Understand member population and provider… more
- IMSolutions, LLC (Providence, RI)
- …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
- Lumen (Providence, RI)
- …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
- Humana (Providence, RI)
- …+ Health Care experience + Credentialing, Auditing - Peer Audits, Contract Load, Service Fund, Directories or CIS experience + Provider Network ... customers. Credentialing Operations bonds the trust between patient and provider . Come join our organization and assist us in...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- Humana (Providence, RI)
- …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
- Brown University (Providence, RI)
- …self -insured workers' compensation program. Ensure effective program management to provide quality care for Brown's employees including innovation in ... Develop and manage an overall University-wide insurance program in order to provide insurance protection the University, its employees and related organizations from… more
- Sedgwick (Providence, RI)
- 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
- Baylor Scott & White Health (Providence, RI)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & ... 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
- Prime Therapeutics (Providence, RI)
- …+ Book of Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest, ... contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Sedgwick (Providence, RI)
- 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
- Sedgwick (Providence, RI)
- 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
- IMSolutions, LLC (Providence, RI)
- …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
- Cadmus (Providence, RI)
- …/ estimates to completion (EACs / ETCs) for multiple projects of varying contract type, size, complexity, and risk level. They will work closely with project ... managers to provide recommendations on managing project financials and support financial...the natural world. We offer competitive compensation, outstanding health care and retirement benefits, a vibrant and collaborative work… more
- Cardinal Health (Providence, RI)
- …mission is to empower community oncology practices to deliver patient-centered cancer care . Navista, a Cardinal Health company, is an oncology practice alliance ... + Identify and drive automation and processes improvements to improve the cost of serve for practices. + Executive stakeholder management and communication. +… more
- IMSolutions, LLC (Providence, RI)
- …**This position is contingent on the award of a federal contract .** IMSolutions seeks an experienced Subject Matter Expert to fill an ... on the Task Order assigned. As the **Subject Matter Expert,** you will provide guidance and direction for specific tasks of a project. Specific expertise in… more
- Takeda Pharmaceuticals (Providence, RI)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... workplace, in which our global teams are united by an unwavering commitment to provide Better Health and a Brighter Future to people around the world. Here, you… more
- Humana (Providence, RI)
- …systems, business, process and user needs, documentation of requirements, cost /benefit analysis and translation into proper system requirement specifications. ... Maintain up-to-date documentation on processes, workflows, and system configurations. + Provide expertise on procurement systems, guiding end users on best practices… more
- CDM Smith (Providence, RI)
- …geotechnical and geo-environmental projects including drawings and specifications, bid packages, cost estimates and other contract documents for subcontractors. ... work with clients in the public and private sectors. Provide oversight, direction, and mentoring to junior engineers, geologists,...Where it's a priority that the company takes good care of you and your family. Our employees are… more