- Elevance Health (Louisville, KY)
- ** 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 (Louisville, KY)
- 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
- Sedgwick (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Sharecare, Inc. (Frankfort, KY)
- …-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
- IMSolutions, LLC (Frankfort, KY)
- …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
- Olympus Corporation of the Americas (Louisville, KY)
- …and implement repair service strategies within a discreet territory that will provide customer assistance in reducing service contract costs, support service ... repair cost utilization analyses reports and learn how to review service contract performance and cost consumption versus elapsed time data. Develop skills… more
- Prime Therapeutics (Frankfort, KY)
- …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
- Louisville/Jefferson County MSD (Louisville, KY)
- …on MSD facilities. Assists with the day to day operations of Contract Security Guards. Interacts with internal and external customers. Conducts investigations ... facilities. Assists with the day to day operations of Contract Security Guards. Interacts with internal and external customers....concealed carry deadly weapon permit (CCDW). Must possess and provide a suitable firearm for use on post. Must… more
- Sedgwick (Frankfort, KY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
- Black & Veatch (Louisville, KY)
- …passionate professionals. Our vision is to be the greatest infrastructure solutions provider delivering top tier and high-quality design and engineering services to ... is expanding our Federal A/E areas of focus** using a variety of contract vehicles, including Architecture/Engineering (A/E) IDIQ, MATOC, SATOC and MACC (D/B) for… more
- Prime Therapeutics (Frankfort, KY)
- …outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication ... and analysis. Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancements)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Frankfort, KY)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client`s program(s). Requires communication across ... responsible to serve as the clinical liaison for assigned contract (s). Manages overall client relationship. Participates in the development...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Humana (Frankfort, KY)
- …supports our Medicaid contracts and Medicare regulations. This includes coordinating agency provider alerts related to fraud, waste and abuse (FWA) and ensuring ... to all impacted business areas. These alerts relate to claims payments and provider contracting. The CCM CP2 also Coordinates FWA requests for information from… more
- Sedgwick (Louisville, KY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Prime Therapeutics (Frankfort, KY)
- …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 ... is responsible for performing multifaceted financial analyses to assess manufacturer contract performance, plan performance and to develop rebate estimates related… more
- Sedgwick (Louisville, KY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... of examiners and technical staff for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Iron Mountain (Frankfort, KY)
- …can elevate the power of your work at Iron Mountain. We provide expert, sustainable solutions in records and information management, digital transformation services, ... relationship and customer support. + Research of account status to prepare for contract negotiations. Responsible to assist in the Renewal and execute on the Renewal… more
- Humana (Frankfort, KY)
- …holds Humana's technology partners accountable via performance management, contract compliance, and relationship management, thereby allowing internal partners ... with internal business partners to forecast future needs and to develop cost effective strategies aligned with business objectives. Drives the strategy and selection… more
- Prime Therapeutics (Frankfort, KY)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more