- Legend Biotech USA, Inc. (Raritan, NJ)
- …as pet, critical illness, accident, and hospital indemnity insurance. We also provide commuter benefits, family planning and care resources, well-being ... (CapEx), ensuring alignment with business objectives, quality, compliance, and cost optimization. The role will work closely with cross-functional stakeholders… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for ... the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to...staff to achieve expected outcomes and patient/family and health care team satisfaction * DOCUMENTATION - Provide … more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for ... the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to...staff to achieve expected outcomes and patient/family and health care team satisfaction * DOCUMENTATION - Provide … more
- Unknown (Boston, MA)
- …Distinguished health plan serving the local community Industry Hospital & Health Care Type Non Profit Founded 1937 Employees 1001-5000 Categories Health & Wellness ... Health Care Association Communities Non Profit Specialties healthcare insurance alternative quality contract and community partnership Business Classifications… more
- Unknown (South Amboy, NJ)
- …acumen. The CEO will be expected to achieve budgeted financial objectives, manage contract negotiations, and implement cost controls while focusing on revenue ... Chief Executive Officer (CEO) About the Company Rapid-growing provider of evidence-based addiction treatment services Industry Mental Health Care Type Privately… more
- Unknown (Mclean, VA)
- Senior Vice President of Finance About the Company Established provider of value-based kidney care Industry Hospital & Health Care Type Privately Held, ... on pricing and contract terms, and using analytics to identify healthcare cost trends. The ideal candidate will be a financial leader with a growth mindset,… more
- Unknown (Boston, MA)
- …Distinguished health plan serving the local community Industry Hospital & Health Care Type Non Profit Founded 1937 Employees 1001-5000 Categories Health & Wellness ... Health Care Association Communities Non Profit Specialties healthcare insurance alternative quality contract and community partnership Business Classifications… more
- Unknown (Nashville, TN)
- Regional Vice President of Sales, ASO About the Company Emerging & innovative provider of health care insurance plans Industry Insurance Type Privately Held, ... Founded 2018 Employees 201-500 Funding $101-$200 million Categories Health Care Insurance Health Insurance InsurTech About the Role The...for the full sales cycle, from pipeline generation to contract execution, and will be expected to own and… more
- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. 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
- Elevance Health (Cerritos, CA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Durham, NC)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. 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 (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Elevance Health (Tampa, FL)
- …office. **Position Overview:** Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider ...modifications as applicable + Recommends standardized practices to optimize cost of care + Educates provider… more
- CVS Health (Raleigh, NC)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 3 + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...years experience with provider contract negotiation or provider … 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
- CVS Health (Hartford, CT)
- …professionals. We are seeking a **Manager - Aetna Claim Adjudication System (ACAS) Provider Contract Testing** to join our Testing Center of Excellence (TCOE). ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Hartford, CT)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and a workforce of over 300,000 purpose-driven professionals. We care for people where, when, and how they choose,...and compassionate. We are seeking a **Senior Manager, Commercial Contract Testing** to join our Testing Center of Excellence… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... guidelines and other regulatory and accreditation standards. **Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex… more
- CareFirst (Baltimore, MD)
- …matter expert (SME) in contracting and reimbursement, offering insights during contract development and negotiations with smaller provider practices based ... and market analysis. + Supports negotiations, development of strategy, market and provider intelligence, and contract execution for institutional, ancillary and… more
- Corewell Health (Southfield, MI)
- …contracts and passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network contracting. ... through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position… more
