- Elevance Health (Chicago, IL)
- ** 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 (Chicago, IL)
- ** 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
- Centene Corporation (Springfield, IL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Humana (Springfield, IL)
- …the health of the communities we serve. The Regional Vice President will also provide executive leadership to Provider Contracting, Provider Education and ... Develop and lead efforts re: continuous improvement for unit cost strategy. + Ensure access to care ...with internal partners to ensure best in class credentialing, contract load and directory accuracy + Incorporate provider… more
- CVS Health (Springfield, IL)
- …medical cost initiatives. **Required Qualifications** + 4+ years of provider contracting and relationship experience, including contract language, rate ... key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy. + Negotiate settlements and… more
- Centene Corporation (Springfield, IL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims,… more
- CVS Health (Chicago, IL)
- …Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, utilization/performance, network growth, and ... 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 (Springfield, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and alignment with organizational goals to ensure the delivery of exceptional provider experiences and operational excellence. This role serves as the primary… more
- CVS Health (Springfield, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... monitoring of client contracts related to market events and maintenance of standard contract language across all lines of business. Colleague will work closely with… more
- Option Care Health (Bannockburn, IL)
- …us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care , so we are investing in a culture that ... infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality...resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than… more
- Health Care Service Corporation (Chicago, IL)
- …This position is responsible for performing moderate to complex Value Based Care Provider performance financial analyses. Some level of financial modeling ... level presentations related to financial topic + Ability to inform VBC provider contract performance risks, and collaborate cross-functionally to perform… more
- Rush University Medical Center (Chicago, IL)
- …and anticipated) with available resources and proactively resolve barriers. Promotes cost -effective quality care services. * Participates in development, ... which is specific to the patient/family learning abilities and language preference. * Identifies care management contract outcomes by using care management … more
- Molina Healthcare (Chicago, IL)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION Job Summary Provides support for care management/ care coordination long-term services and...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Leaffilter (Lombard, IL)
- …to-dos into achievements. With more than 50% of homeowners worried about the cost and effort of home maintenance, we deliver remarkable, end-to-end experiences. And ... across the US and Canada, we are America's largest direct-to-consumer full-service provider of branded home services and products. Our products, including the… more
- Highmark Health (Springfield, IL)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Help at Home (Chicago, IL)
- _Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and ... caregivers across 12 states. We're looking for people who care about others, who are willing to listen, lean...estate partner (Cushman & Wakefield), ensures effective vendor and contract management, and leverages the Coupa procurement system to… more
- Veolia North America (Lincoln, IL)
- …consecutive years, and the country's largest private water operator and technology provider as well as hazardous waste and pollution treatment leader. It offers ... accountability across the assigned project. Ensure proficiency in the applicability, care , and use of all site-specific, facility-required PPE. Maintain plant… more
- Humana (Springfield, IL)
- …. The case manager will offer guidance, support, and coordination of the beneficiary's care as directed by the beneficiary, the provider (s) or other members of ... needs of TRICARE beneficiaries, to maximize each beneficiary's capacity for self- care , to cost -effectively achieve desired clinical outcomes and to enhance… more
- Burns & McDonnell (Downers Grove, IL)
- …for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, ... the successful execution of a single or multiple projects simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost … more
- Burns & McDonnell (Chicago, IL)
- …for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, ... the successful execution of a single or multiple projects simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost … more