- Elevance Health (Norfolk, VA)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... within 50 miles of one of our Elevance Health PulsePoint locations The ** Provider Contract Cost of Care Consultant Senior** provides the highest level of… more
- Elevance Health (Norfolk, VA)
- …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
- Elevance Health (Norfolk, VA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... of our Pulse Point locations. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint 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
- Sedgwick (Richmond, VA)
- …hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Parsons Corporation (Centreville, VA)
- …alignment on meeting contract requirements. + Monitors project expenditures versus contract cost and funding limitations, and prepare and submit client ... **Job Description:** Parsons is looking for an amazingly talented ** Contract Administrator** to join our team! In this role...disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide … more
- Parsons Corporation (Centreville, VA)
- …subcontract matters. + Monitors and prepares letters to clients notifying them of contract cost and funding limitations and requirements for additional funds. + ... Description:** Parsons is looking for an amazingly talented **Sr. Contract Administrator** to join our team! In this role...disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide … more
- The Cigna Group (Mclean, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- … Implementation and Monitoring: Ensure timely and accurate implementation of managed care agreements, including fee schedules, contract terms, and performance ... reimbursement rates, and patient access and address the unique needs of pediatric care , including specialty services and high- cost treatments. + Revenue Cycle… more
- Sharecare (Richmond, VA)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Amergis (Newport News, VA)
- …discharge date.\nCommunicates all pertinent information regarding changes in patient's status from one care provider to another to support continuity of care ... more than words. Putting safety first allows us to provide superior care for our patients and...training in order to effectively complete assigned duties. Provides care in a cost effective manner while… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Bon Secours Mercy Health (Petersburg, VA)
- …and resource to managers and others. + Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on the ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our...to his or her age, specific needs and to provide the care needed as described in… more
- Elevance Health (Ashburn, VA)
- …**Managed Care Coordinator** , as required by applicable state law and contract , contributes to the care coordination process by performing activities within ... for members with chronic illnesses, co-morbidities, and/or disabilities, member and the health care team, to ensure cost effective and efficient utilization of… more
- Planate Management Group LLC (Richmond, VA)
- …duration to the Government construction manager and Contract Specialist + Provide potential corrective scopes and cost estimates for modification(s) to the ... government representative or contract specialist/officer and provide technical assistance to assist in answering requests for information (RFI) from construction… more
- Leonardo DRS, Inc. (Chantilly, VA)
- …**Job Responsibilities** Manage one or multiple programs with the daily execution of contract requirements to assure that cost , schedule and performance goals ... risk throughout the program life cycle. Manage and direct the daily execution of contract requirements to assure that cost , schedules and performance goals are… more
- Elevance Health (Norfolk, VA)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager II - Applied Behavioral Analysis** ... Must have a Clinical License Or BCBA certification The **Behavioral Health Care Manager II** is responsible for managing psychiatric and applied behavioral analysis,… more
- Somatus (Mclean, VA)
- …analytics to identify and communicate healthcare cost trends, issues, and total cost of care drivers. + Assist leadership in developing and evaluating ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to… more
- Humana (Richmond, VA)
- …toward improving the health of the communities we serve. The RVP will also provide executive leadership to the Provider Contracting, in support of Humana's ... extensive business leadership experience, with several years in a managed care environment leading a network development/ provider relations function, including… more