- Butterball (Garner, NC)
- …Located in the thriving Raleigh-Durham, North Carolina area, our goal is to provide a diverse array of career opportunities and paths which include our farms, ... materials, ingredients, materials, and processes that improve products and reduce cost .| Identifies, tests, and implements new processes and product formulas that… more
- Avera (Fargo, ND)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) ... implementation of broad based, tiered, and narrow network products and value-based contract arrangements. Also lead medical cost reduction programs to identify… more
- The Cigna Group (Austin, TX)
- …Groups. Must have experience working with Commercial/Employer Healthcare Contracting.** **Manager, Provider Contract Network Management** position serves as an ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… 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
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within Service Area) ** Cost Center:** 682891544 SHP- ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager… more
- CVS Health (Columbia, SC)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Minimum 3+ ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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 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 a… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …understanding of contract language * Strong understanding of professional provider cost structures and reimbursement methodologies * Sound knowledge of ... new relationships and contracts as needed with providers and re- contract with existing providers to ensure cost ...as appropriate to incorporate a sound strategic approach to provider network development. The Contract Manager is… more
- WellSense (Boston, MA)
- …is responsible for the development, implementation and management of a cost -effective provider network, maintaining complex and geographically diverse contracts. ... . Excellent benefits **Key Functions/Responsibilities:** . Interprets environmental (policy, contract , landscape, organizational) changes with contracting and provider… more
- Dignity Health (Rancho Cordova, CA)
- …the analytics performed on existing contracts and evaluate the need for a new provider contract within the market. - Identifies existing professional provider ... Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities… more
- MVP Health Care (Schenectady, NY)
- …be substituted for a degree. + Seven or more years of experience in health care operation, contracting, contract negotiation or Finance with at least 3 years ... Director, Procurement and Contract Management 625 State St, Schenectady, NY 12305,...Req #2360 Monday, January 27, 2025 At MVP Health Care , we're on a mission to create a healthier… more
- UPMC (Pittsburgh, PA)
- … proposed terms as compared to current contractual terms and other comparable payor contract terms. + Data mine provider and payor financial and operational data ... UPMC Corporate is hiring a Payor Contract Analyst, Senior to join our team! This...is responsible for evaluating and negotiating complex health insurance provider contracts and relationships. As well as assisting and… more
- MyFlorida (Tallahassee, FL)
- …program office liaison, negotiates contract terms and conditions, performing cost analyses of provider budgets. Maintains proper documentation of ... laws, rules, regulations, and guidelines. + Develops and execute provider contracts/competitive solicitations addressing standard contract documents, services… more
- HCA Healthcare (Campbell, CA)
- …seeking a(an) Contract Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- University of Utah Health (Murray, UT)
- …contract negotiation analysis. + Prepares market analysis including population demographics, provider cost and quality data, and network configuration for ... communication skills. + Demonstrated excellent database/modeling skills. + Extensive knowledge of provider contract analysis. + Industry knowledge of healthcare … more
- Molina Healthcare (CA)
- …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
- Intermountain Health (Las Vegas, NV)
- …health system, hospital and provider group performance, including quality, experience, and total cost of care . + Lead the health plan in network design and ... objectives through effective primary care , specialty, hospital and ancillary provider contracting and contract management. + Directs team to negotiate,… more
- Molina Healthcare (Fort Worth, TX)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Alternative Quality Contract and pioneering incentives to reduce racial inequities in care . The Contract Leader works closely with the Associate Director of ... and quality incentive programs, as well as achieve unit cost trend targets. The Contract Leader is...Abilities) + Solid understanding of global, hospital and physician contract development; demonstrated negotiation of complex provider … more
- CVS Health (Lansing, MI)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Critical ... performance and support the development and implementation of strategic, value based contract relationships, maintain and enhance provider networks to meet… more
