- Elevance Health (Charleston, WV)
- …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 (Charleston, WV)
- ** Provider Contract / Cost of Care Analyst Sr.** **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
- 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
- Sedgwick (Charleston, WV)
- …ancillary provider 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...quality program(s). **QUALIFICATIONS** **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… 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
- Intermountain Health (Charleston, WV)
- …to reoccurring issues. Identifies problems and process improvement practices and provide solutions related to benefit designs, provider relations, financial ... SHOBE, EDI, or other electronic enrollment systems), billing reconciliation, contract compliance, and other identified areas. MARKETING MATERIALS: Orders and… more
- Elevance Health (Charleston, WV)
- …of the Elevance Health, Inc. family of companies, we're creating greater access to care for our members, greater value for our customers, and greater health for our ... Join us and together we will drive the future of federal health care . **The Director of Contracts & Procurement** is responsible for Elevance Health's federal… more
- Amentum (Charleston, WV)
- …for union employee benefits and analyzes union benefits demands. Obtains and prepares cost data for company and union proposals and final settlements. + Process ... reports such as benefits utilization, trend analysis, claims, fees, and provider performance evaluations + Assists in administration of benefits enrollment process,… more
- Leonardo DRS, Inc. (WV)
- …proposal evaluation teams through a supplier selection process after a technical evaluation and cost / price analysis are complete. * Provide leadership in the ... to customers. * Ensure products and services obtained by the team meet quality, cost , and schedule objectives in accordance with program and company requirements. * … 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
- Humana (Charleston, WV)
- …with vendors, ensuring optimal pricing and alignment with IT standards. + ** Contract and License Management:** Reviews and manages licenses and contracts to ... technology solutions, and collaborates with internal business partners to develop cost -effective strategies that are aligned with business objectives. Leads 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
- Elevance Health (WV)
- …and to promote effective use of resources. Ensures medically appropriate, high-quality, cost -effective care through assessing the medical necessity of inpatient ... contracts. + Ensures member access to medical necessary, quality healthcare in a cost -effective setting according to contract . + Consult with clinical reviewers… 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)
- …The position analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The ... budgeting as well. Provides input into functions strategy. + Provide market specific financial leadership in the state Medicaid...short- and long-term plan objectives + Responsible for identifying cost trends and leadership of cost improvement… 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
- Leonardo DRS, Inc. (WV)
- …to customers. + Ensure products and services obtained by the team meet quality, cost , and schedule objectives in accordance with program and company requirements. + ... Provide leadership focused upon personal and collective accountability, fostering...have favorable budgetary impact. + Build sourcing strategy implementation, contract compliance and customer satisfaction programs utilizing the expansion… more