- Core Civic (Lumpkin, GA)
- …pace and level of performance consistent with the actual job performance requirements. Provide comprehensive nursing care to include, but not limited to, ... services.Maintain a good working relationship with facility staff, nursing staff, contract providers and outside provider agencies.Utilize established corporate,… more
- Core Civic (Columbus, GA)
- …medical and other problems, prescribing medications and providing treatment and follow-up care . Provide direction in leadership for the medical program in ... a good working relationship with facility staff, nursing staff, contract providers and outside provider agencies.Utilize established corporate,… more
- Core Civic (Pahrump, NV)
- $150,000 200,000 per yearAtCoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seekingDentistwho have a passion for providing the ... highest quality care in an institutional setting.The Dentist is responsible for...of all provided services.Monitor the provision of any required contract services.Coordinate professional dental and related services performed by… more
- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Mason, OH, or Tampa, FL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- Elevance Health (Columbus, OH)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... Louis, MO; Atlanta, GA; Columbus, GA; Chicago, IL. 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
- Stanford Health Care (Palo Alto, CA)
- …**Locations** Stanford Health Care **What you will do** + Negotiates contract language and reimbursement, for primarily transplant, high- cost drug, and ... Responds to physician, pharmacy, and administrative concerns relative to contract pricing, cost , managed care ,...a promise of a particular wage. At Stanford Health Care , we seek to provide patients with… more
- Corewell Health (Grand Rapids, MI)
- …through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position ... and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives.… more
- The Cigna Group (Birmingham, AL)
- …Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management** serves as an integral member of ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… 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 ... the health and well-being of the unique communities we serve. **_Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and is… 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
- UNC Health Care (Morrisville, NC)
- …and communicates potential strategies for maintaining market readiness. **5. Value-based care contract negotiation.** Manages the end-to-end contracting process ... community partners to improve the quality and accessibility of care while lowering the cost of ...needs, as well as researches and analyzes data to provide necessary information. Analyzes financial, contractual and operational issues… more
- Point32Health (Canton, MA)
- …Manager is responsible for the financial, regulatory, and legal terms negotiated with the provider network. The Senior Contract Manager must be able to develop ... utilized by Point32Health to understand the performance, financial and otherwise, of the provider network. The Senior Contract manager must be well versed in… more
- WellSense (Manchester, NH)
- … Manager facilitates development; implementation and management of new and current cost -effective provider networks for multiple products. Under the direction of ... a variety of provider entities across New Hampshire and will ensure contract terms and conditions comply with financial and legal requirements of Plan and its… more
- Point32Health (Canton, MA)
- …Harvard Pilgrim and Tufts Health networks for all lines of business. The Senior Contract Manager is responsible for provider specialties that are more complex in ... Contract Manager will function as point person for provider recruitments; determining network needs and evaluating prospective providers.... care market and the needs/concerns of health care providers + 3+ years of direct contract… more
- MetroLink (Los Angeles, CA)
- Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and Compliance Salary ... + Questions SUMMARY PURPOSE OF POSITION The Manager II, Contract & Compliance, will perform highly complex work for...may involve, as a basis for reimbursement, fee-for-service, actual cost , or negotiated rate. TO APPLY: This is a… more
- Henry Ford Health System (Troy, MI)
- …improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting ... or APMEs) which reward providers for managing the total cost of care (TCOC), quality (eg MA...includes the Director, the SPCA and one or more Provider Services Administrators. Contract support will include… more
- Elevance Health (Columbus, OH)
- The Cost of Care Mgr leads and manages...acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as ... multiple cost of care initiatives enterprise wide (eg local, within each state,... improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual… more
- Commonwealth Care Alliance (Boston, MA)
- …and Safety to improve the care we provide , thereby driving better care at lower cost , and helping members. will be the essential expert on compiling, ... to the Sr Director, **Quality Performance and Value Based Care ,** the Provider and Facility Quality &... deliverables and execute quality payments for the value-based care contract programs. + Review and analyze… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes conform to department standards, and validates… more
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
