- 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 ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Las Vegas, NV)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Grand Prairie, TX)
- …Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Louisville, KY)
- …standardized practices to optimize cost of care . + Educates provider contractors on contracting analytics from a financial impact perspective. + ... ** Provider Contract/ Cost of Care ... Care Consultant** provides analytical support to the Provider Contracting , Product and Solutions organizations. Focuses… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The ** Provider Contracting Director** serves as an integral member of the Provider Contracting Team and reports to the ... Provider Contracting Senior Manager or VP of Contracting ....cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- The Cigna Group (Mclean, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for Humana's ... provider agreements with Humana's strategic goals, the Senior Provider Contracting Professional helps ensure network adequacy, competitive reimbursement… more
- The Cigna Group (Morristown, NJ)
- …MORRISTOWN, NJ AND WILLING TO COMMUTE LOCALLY TO THE OFFICE AND PROVIDERS** The ** Provider Contracting Advisor** serves as an integral member of the Provider ... Contracting Team and reports to the Provider Contracting Senior Manager. This role assists...cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- The Cigna Group (Cleveland, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- The Cigna Group (Hartford, CT)
- …** Provider /Hospital Contracting Manager** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider ... of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the...of a bachelor's degree.** + **3+ years of Managed Care contracting and negotiating experience involving complex… more
- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting . This role is a key ... Compliance, Sales and Marketing and Service + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- Corewell Health (Southfield, MI)
- …years of proven experience leading negotiations directly and independently or leading a provider contracting team in negotiations + Experience in finance or ... compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally,...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
- Humana (Overland Park, KS)
- …the health of the communities we serve. The Regional Vice President will also provide executive leadership to Provider Contracting , Provider Education ... Develop and lead efforts re: continuous improvement for unit cost strategy. + Ensure access to care ...clinical resources. + Provide leadership to regional provider engagement, contracting , and operations teams. +… more
- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation… more
- Hartford HealthCare (Hartford, CT)
- …**Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl Street Hartford (10484)* ... of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance....care finance and accounting issues . Knowledge of cost accounting and EPSi highly desired . Strong interpersonal… more
- Point32Health (NH)
- …management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. + ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide ...cost , and earnings. Build and maintain high performing provider networks utilizing risk-based structures and incentives whenever possible.… more
- Centene Corporation (Harrisburg, PA)
- …markets. + Perform periodic analyses of the provider network from a cost , coverage, and growth perspective. + Provide leadership in evaluating opportunities ... field required. MBA or MHA degree preferred. 10+ years of experience in managed care network development and provider relations/ contracting management in a… more
- Centene Corporation (Carson City, NV)
- …field or equivalent experience. 6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of ... Federal health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:** Current state driver's… more
- Health Care Service Corporation (Albuquerque, NM)
- …for a motivated lawyer to provide counsel relating to complex contracting , including vendor, provider network, producer/customer, and strategic sourcing ... evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and...help advance HCSC's goal of expanding access to quality, cost -effective health care to help people live… more