• Provider Contracting

    Humana (Topeka, KS)
    …a part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, ... agreements for an organization that provides health insurance. The Provider Contracting Executive works on...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
    Humana (06/01/24)
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  • Senior Director, Strategic Pricing…

    Sumitomo Pharma (Topeka, KS)
    …have primary responsibility for conducting business analysis to inform the payer and provider pricing and contracting strategy as well as inform overall ... experienced individual for the position of **Senior Director, Pricing, Contracting Strategy & Analytics.** This position reports to the...goals and maximizing net revenue + Develop payer & provider deal models to assess the implications of deal… more
    Sumitomo Pharma (06/15/24)
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  • Subject Matter Expert, Federal Contracting

    IMSolutions, LLC (Topeka, KS)
    Subject Matter Expert, Federal Contracting Remote Full Time \#1217 - Client Services Experienced Share (https://imsolutions1.applytojob.com/app/share/cuTfk4Lb9Q) ... to fill an exciting opportunity working in federal government contracting supporting BPA Call Orders. This will be a...Order assigned. As the **Subject Matter Expert,** you will provide guidance and direction for specific tasks of a… more
    IMSolutions, LLC (05/30/24)
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  • Senior Data and Reporting Professional

    Humana (Topeka, KS)
    …to determine and correct network adequacy issues, and closely partnering with contracting teams to ensure compliance with state requirements. The Senior Data and ... to determine and correct network adequacy issues, and closely partnering with contracting teams to ensure compliance with state requirements. The Senior Data and… more
    Humana (06/23/24)
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  • Senior Analyst, Healthcare Quality Management…

    CVS Health (Topeka, KS)
    …quality improvement or health coaching + Experience with coding + 3+ years provider facing activities/valued based contracting /network + Knowledge of HEDIS and ... team. The Quality Practice Liaison role requires approximately 75% local travel to provider offices. Required Qualifications + Must live near one of the following… more
    CVS Health (05/08/24)
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  • Analyst, Healthcare Quality Management - Must live…

    CVS Health (Topeka, KS)
    …or health coaching, preferably in a managed care environment + 2 years provider facing activities/value based contracting /network + Knowledge of HEDIS and Pay ... The Quality Practice Liaison role requires approximately 75% local travel to provider offices.Required Qualifications + Must reside in one of the following areas:… more
    CVS Health (05/08/24)
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  • Principal of Underwriting, Large Employer Accounts…

    Prime Therapeutics (Topeka, KS)
    …implications + Prepares materials and reports, and presents to Senior Leadership and Executive Leadership teams + Acts as a primary source of financial truth in ... legal contracting of new and existing clients, ensuring detailed contract...respond to complex questions in front of Senior and Executive Leadership + Works well under stressful situations with… more
    Prime Therapeutics (06/14/24)
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  • Senior Compliance Director - Remote

    Prime Therapeutics (Topeka, KS)
    …and other measurement, reporting, and accountability tools for senior executive , board member, and other stakeholder visibility and engagement. Continual ... for accuracy, effectiveness and client satisfaction. Collaboration with sales and contracting teams to scope, define, resource, and price compliance contractual… more
    Prime Therapeutics (06/11/24)
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  • Associate Director- Business Systems Manager

    Humana (Topeka, KS)
    …way + Work closely with Information Technology, Procurement Operations, Sourcing, Contracting , Category Management, Finance, and Corporate Payables to ensure a ... issues that arise, deliver guidance / training on processes and systems, provide subject matter expertise and insight on future projects and other initiatives… more
    Humana (06/28/24)
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  • Director Workforce - Remote in CA

    Prime Therapeutics (Topeka, KS)
    …plans that ensure achievement of all performance and service guarantees, review and provide contracting guidance on all new client performance guarantees, and ... manage their operations. **Responsibilities** + Define key performance metrics to provide managers a solid understanding of operations performance; devise data… more
    Prime Therapeutics (06/27/24)
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  • Manager Actuarial

    Highmark Health (Topeka, KS)
    …responsive service and understanding customer needs. Effectively present information and provide decision support to team members and executive management, ... valued and leveraged to achieve the vision and mission of the organization. Provide clear and consistent feedback. Actively listen to staff's concerns and ideas and… more
    Highmark Health (06/11/24)
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