- MultiPlan (Atlanta, GA)
- …and inspire. Our employees do just that by helping healthcare payers manage the cost of care , improve competitiveness and inspire positive change. You can be ... software, etc. Ability to use multiple systems for claims research, contract interpretation, provider network status and verification, applications/nominations,… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …with HHS Technology Group and State Government guidelines, processes, and contract stipulations. This highly valued Project Manager will represent and oversee ... as resource for questions, and manage expectations Serve as contract manager handling contract -related activities Maintain and...the following: Medicaid - MMIS - MECT - Health care - Data warehouse - Analytics - JIRA Experience… more
- Elevance Health (Atlanta, GA)
- ** 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 (Atlanta, GA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint 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
- Elevance Health (Atlanta, GA)
- ** 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
- Elevance Health (Atlanta, GA)
- ** Provider Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... one of our Elevance Health PulsePoint locations. **Preferred Location:** Columbia, MO. The ** Provider Cost of Care Consultant** is responsible for providing… more
- The Cigna Group (Atlanta, GA)
- …Travel to in-person meetings with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the ... total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist… more
- Sedgwick (Atlanta, GA)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Humana (Atlanta, GA)
- …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, Teaming ... and applicable file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR)… more
- Microsoft Corporation (Atlanta, GA)
- …that powers the world's largest online services. Microsoft's CO+I team is seeking a ** Cost management Campus Lead** to provide services for our Atlanta site in ... GC at during design development and agreement of the contract sum. + Pay application assessment and approval for...& closeout for all vendor accounts. + Manage the Cost Management firm contracted to provide commercial… more
- Sharecare, Inc. (Atlanta, GA)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Microsoft Corporation (Atlanta, GA)
- …role of Global Formation Excellence for Services which will focus on pre-award contract development on a global basis and alignment of regional the supply chain ... Chain will be the global stakeholder focused on pre-award contract formation. You will have extensive knowledge of the...Sum, Guratenteed Maximum Price [GMP], Time & Material [T&M], Cost +, Unit Price) that work can be based on… more
- Elevance Health (Atlanta, GA)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. Assists with more complex cases and may...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- IMSolutions, LLC (Atlanta, GA)
- …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
- Zelis (Atlanta, GA)
- …payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider ... value of the payment that was remitted to the provider based on Medicare pricing, location/facility/ provider comparisons,...claim negotiations + Demonstrated success in a sales or contract negotiations setting + Knowledge of the full Microsoft… more
- Microsoft Corporation (Atlanta, GA)
- …Project Procurement: + Execute sourcing plans to ensure delivery of approved contract strategies and project objectives, on time and within budget as per ... throughout the lifecycle of the contracts. + Contribute to supplier evaluation and prepare contract award proposals on an as needed basis. + Contract Review and… more
- Prime Therapeutics (Atlanta, GA)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- IQVIA (Atlanta, GA)
- …achieve the delivery of the project's overall objectives to the Sponsor's satisfaction per contract while optimizing speed, quality and cost of delivery and in ... for the clinical delivery (subject recruitment, site management, data integrity) per contract , ensuring consistent use of study tools and training materials and… more
- Republic Services (Atlanta, GA)
- …treatment options and develop and implement subsequent programs. + Complete and provide business reviews considering both cost and environmental impacts as ... Inc. (NYSE: RSG) is a leader in the environmental services industry. We provide customers with the most complete set of products and services, including recycling,… more
- Microsoft Corporation (Atlanta, GA)
- … weekly project status reporting to DCD standards. **Vendor Management and contract compliance:** + Provide Vendor oversight and performance management by ... and Metro to the expectations of Safety, Quality, Predictable Cost and Schedule and Risk Management. The Site Director...and stakeholders in support of the project delivery + Provide direct oversight of the Construction Managers within the… more
