- CVS Health (Annapolis, MD)
- …and external customers. **Required Qualifications** . 5+ years of experience in value - based care in contracting , provider relations, provider ... provider relationships as part of the National Value Based Solutions Specialty Partnership team. You... contracting and clinical teams to create innovative value - based payment concepts. . Work with cross… more
- Humana (Annapolis, MD)
- …+ Master's Degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting **Additional Information** + Travel up to 20% ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or… more
- CareFirst (Baltimore, MD)
- … provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance ... (KSAs)** + Deep understanding of multiple reimbursement methodologies used in healthcare provider contracting . + Proven ability to build strong collaborative… more
- Humana (Annapolis, MD)
- …risk adjustment and the Stars quality program + Experience in managed care and value - based contracting **Additional Information** As part of our hiring ... Please be aware that applicants may be asked to provide their Social Security Number, if it is not...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
- The Cigna Group (Baltimore, MD)
- …Manages complex contracting and negotiations for fee for service and value - based reimbursements with hospitals and other providers (eg, Hospital systems, ... Contracting ** serves as an integral member of the Provider Contracting Team and reports to the...and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value - based… more
- CareFirst (Baltimore, MD)
- …basis for the payment of claims for all hospital services including those in value based arrangements. This position will serve as department SME interacting ... Hospital contracts including but not limited to those in Value - Based contracts representing more than $2 billion...ensure all performance guarantees are approved and tracked for Provider Contracting and Reimbursement. + Responsible for… more
- Highmark Health (Annapolis, MD)
- …+ 3 years Value - based reimbursement, through managed care contracting , provider reimbursement, consulting, population health delivery or related areas + ... current health care delivery state, readiness for change, test value based programming concepts and components, identify...programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3… more
- Evolent (Annapolis, MD)
- …Three (3) years of provider relations, account management, and/or provider contracting , claims/reimbursement experience * Knowledge of healthcare, managed ... Accountable to internal and external stakeholders, leverage market intelligence to inform provider engagement efforts on high- value providers, with emphasis on… more
- CenterWell (Annapolis, MD)
- …committed to the principles of comprehensive primary care and unlocking the power of value - based care for patients at national scale. S/he will be a proven ... excellence, where doing the right thing for patients and team- based care within a value - based ...management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding… more
- Evolent (Annapolis, MD)
- …years relevant work experience + Must reside in Florida + Strong background in value based /full risk PCP MSO/IPA arrangements related to Medicare Advantage and ... programs + Experience in healthcare administration with strong emphasis in Provider Operations and/or Network Development/ Provider Contracting strategies… more
- Prime Therapeutics (Annapolis, MD)
- …industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality ... applicable state and federal regulations or guidance into Prime's contracts and Provider Manual. The Network Client Services Manager supports efforts to ensure all… more
- CBRE (Annapolis, MD)
- …and suppliers. **What You'll Do** Develop, plan, and put in place sophisticated contracting and procurement strategies and roadmap based on business goals. ... the Role** As a CBRE Procurement Principal, you will provide expert-level strategy and direction to the team that...on the collection of data related to the sourcing, contracting , management, and performance of suppliers and vendors. This… more
- Exelon (Baltimore, MD)
- …purpose-driven people like you who believe in being inclusive and creative, and value safety, innovation, integrity and community service. We are a Fortune 200 ... since we know transforming the future of energy is hard work, we provide competitive compensation, incentives, excellent benefits and the opportunity to build a… more
- DarkStar Intelligence LLC (Fort Meade, MD)
- …individual will act as the primary point of contact for the Contracting Officer (CO), Contracting Officer's Representative (COR), Government Program Manager, ... the contract. + Review and approve all financial reports, including earned value , Estimate to Complete (ETC), Funds and Man-Hour Expenditure Reports, or others… more
- Cognizant (Annapolis, MD)
- …Application Development & Management and Quality Engineering & Assurance - we provide end-to-end value to organizations looking to escape legacy constraints, ... and produce greenfield products and services. The Technology Modernization Sales Specialist will provide deep expertise in one or more of the Software and Platform… more
- Prime Therapeutics (Annapolis, MD)
- …industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality ... that directly impact Prime's goals; profit drivers and the organization's financial value statement. This role serves as a subject matter expert and accountable… more
- Cardinal Health (Annapolis, MD)
- …with developing and offering real-world data, evidence, and technology and related value -added services to current and new member practices and industry partners ... and tech-enabled services, enabling the team to help create clinical and economic value for SNS member practices and industry partners. As a senior leader in… more
- Prime Therapeutics (Annapolis, MD)
- …, risk, performance, etc. service offerings to SPS vendors + Manage major SPS vendor contracting projects, to maximize value and achieve the lowest total cost of ... pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills. To review our Benefits,...are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide… more
- Prime Therapeutics (Annapolis, MD)
- …industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality ... Principal is responsible for the development and execution of business development, contracting and marketing support necessary to drive client growth and retention… more
- Datavant (Annapolis, MD)
- …RFPs that may lead to strategic capture where Datavant services or software would add value and fit the scope of the project. + Understand and navigate US ... contracting regulations, public sector contracting vehicles, and...Partners to develop win themes and embed the Datavant value propositions throughout thought leadership, Whitepapers, and RFI Responses… more