- Elevance Health (Charleston, WV)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- The Cigna Group (Charleston, WV)
- …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
- Elevance Health (Charleston, WV)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- CVS Health (Charleston, WV)
- …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
- Humana (Charleston, WV)
- …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
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …to patients Ensures competence of medical staff and each of its members to provide care to the young, middle, older and geriatric patients served Encourages ... This position may be eligible for the Physician / Provider Contract Buy Out Program (CBOP), which...cost Flexible Spending accounts Pre-taxed Federal Long Term Care Insurance TSP matching 5% and Pre-tax contributions Child… more
- HomeSafe Alliance (Charleston, WV)
- …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 (Charleston, WV)
- …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 (Charleston, WV)
- …of Aetna's Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible ... + Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost -of- care strategy. + Solid focus on data analytics to identify … more
- Huron Consulting Group (Charleston, WV)
- …clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services ... within a consulting firm setting with a focus on cost of care , workforce management, and/or supply...+ Negotiate with vendors to achieve better pricing and contract terms + Implement inventory management strategies to reduce… more
- Elevance Health (Charleston, WV)
- …programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Sedgwick (Charleston, WV)
- 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 (Charleston, WV)
- …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
- Sedgwick (Charleston, WV)
- 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 (Charleston, WV)
- 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
- CDM Smith (Fairmont, WV)
- …matches construction plans. Identifies deficiencies in constructed structures. Reviews contract terms and conditions. Ensures construction timelines, costs, and ... materials are in compliance with contract terms and conditions. Provides technical guidance and training...the work of more junior staff. Documents deficiencies, expected cost overruns, materials issues and any other related construction… more
- Humana (Charleston, WV)
- …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 (Charleston, WV)
- …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 (Charleston, WV)
- …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
- Cardinal Health (Charleston, WV)
- …The company provides clinically proven medical products, pharmaceuticals and cost -effective solutions that enhance supply chain efficiency from hospital to ... Health connects patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 years… more