- Elevance Health (Indianapolis, IN)
- …miles of one of our Elevance Health office locations.** **The Provider Contract / Cost of Care Consultant** will provide analytical support to the ... ** 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 (Indianapolis, IN)
- ** Provider Contract / Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Elevance Health (Norfolk, VA)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Tampa, FL or Chicago, IL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- UNC Health Care (Holly Springs, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... the health and well-being of the unique communities we serve. **_Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and is… more
- The Cigna Group (Pittsburgh, PA)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- The Cigna Group (Phoenix, AZ)
- …as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, ... a matrix organization + Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit… more
- UNC Health Care (Fuquay Varina, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... and well-being of the unique communities we serve. Summary: Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and is… more
- UNC Health Care (Fuquay Varina, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... and well-being of the unique communities we serve. **Summary:** **Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and… more
- Medical Mutual of Ohio (OH)
- …Provider Network Informatics team which has numerous projects centered around provider contract management and value-based contracting. + Previous experience ... Provider Network Informatics team which has numerous projects centered around provider contract management and value-based contracting. + Previous experience… more
- Point32Health (Canton, MA)
- …Manager is responsible for the financial, regulatory, and legal terms negotiated with the provider network. The Senior Contract Manager must be able to develop ... utilized by Point32Health to understand the performance, financial and otherwise, of the provider network. The Senior Contract manager must be well versed in… more
- Prime Therapeutics (Columbus, OH)
- …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
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
- Henry Ford Health System (Troy, MI)
- …data collection, high performing provider referral management and leakage avoidance, total cost of care management (TCOC) s, and documentation of the data ... using a coordinated team approach including the Director, and contract and provider services administrators. HAP's focus...maximize the value of APM contracts to realize total cost of care (TCOC) incentives, quality and… more
- MyFlorida (Fort Lauderdale, FL)
- …subject matter experts to + Negotiate contract terms and conditions, + Conduct cost analyses of provider budgets, and + Ensure ongoing provider delivery ... necessary. + Perform contract renewal, amendment, and closeout duties, including contract evaluation and review and documentation of provider performance. +… more
- Prime Therapeutics (Columbus, OH)
- …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 (Scottsdale, AZ)
- …Plans. + Skills in provider network development and management, value-based care contract execution including risk sharing. + Strong strategic acumen, ... contract performance teams to rate renewal targets, unit cost and overall claim trend targets are met. +...Design innovative contract solutions such as measurement-based care , case rates or preferred provider networks,… more
- Molina Healthcare (Michigan Center, MI)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- State of Michigan (Lansing, MI)
- …Behavioral and Physical Health and Aging Services Administration (BPHASA) and Integrated Care Organizations (ICOs) that are contracted to provide integrated ... Medicaid/Medicare program, provider contractual agreements and the provision of health care to the persons eligible for both Medicaid and Medicare. As an entry… more
- MetroLink (Los Angeles, CA)
- Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply Senior Contract & Compliance ... SUMMARY PURPOSE OF POSITION Metrolink is seeking a highly skilled Senior Contract and Compliance Administrator to join our Contracts and Procurement team. This… more