- CVS Health (Baton Rouge, LA)
- …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 (Baton Rouge, LA)
- …business driven needs, and capacity for expansion focus on support of evaluations of value based contracting and reporting. Key focus on creating capacity ... a part of our caring community and help us put health first** The Value - Based Care Infrastructure Associate Actuary will play a crucial role in supporting… more
- Humana (Baton Rouge, LA)
- …report to the office up to 3 days a week. + Working knowledge of Value Based Contracting **Preferred Qualifications** + Master's Degree + Certified ... a fast-paced insurance or health care setting + 3+ years' experience in provider relations and education + Understanding of healthcare quality measures STARS, HEDIS,… more
- Humana (Baton Rouge, LA)
- …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
- Highmark Health (Baton Rouge, LA)
- …+ 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
- CVS Health (Baton Rouge, LA)
- …of insurance regulatory and contractual requirements. + Knowledge of value and risk- based provider contracting . + Knowledge of current health care ... law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other...prior to your first day of employment and to provide proof of your vaccination status or apply for… more
- Entergy (New Orleans, LA)
- …Organization. The role may be assigned to multiple business units to leverage end-to-end value across an assigned portfolio of spend, with a focus on rotating and ... commercial strategies, with the business functions, in support of objectives to drive value and enable favorable outcomes for all key stakeholders + Collaborate with… more
- Entergy (Killona, LA)
- …+ Skillful in developing contract strategies, incorporating relevant market conditions, based on customer objectives; including multi- contracting strategies with ... three days a week of in-office work and is based our offices in New Orleans, Westwego, or Killona,...Contracts Specialist utilizes and applies significant supply chain and contracting knowledge and experience to contract for complex services,… more
- CVS Health (Baton Rouge, LA)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... arrangements, and regulatory requirements. **Preferred Qualifications** * Proven working knowledge of value based (VBC) and Pay for Performance (P4P) behavioral… more
- Entergy (Ringgold, LA)
- …may be filled as a Procurement Specialist Senior or Senior Staff based on the qualifications and experience of the selected candidate(s). **JOB PURPOSE/SUMMARY** ... Organization. The role may be assigned to multiple business units to leverage end-to-end value across an assigned portfolio of spend, with a focus on rotating and… more
- Entergy (New Orleans, LA)
- …and impact to Entergy on outcomes. + Insightful business analytical skills to provide detailed reports with commentary based on data analysis; interpret data ... is a hybrid role, working in office 3 days a week. The position can be based in New Orleans, LA, The Woodlands, TX, Little Rock, AR, or Jackson, MS. Those outside… more
- Entergy (Labadieville, LA)
- …and impact to Entergy on outcomes + Insightful business analytical skills to provide detailed reports with commentary based on data analysis; interpret data ... Organization. The role may be assigned to multiple business units to leverage end-to-end value across an assigned portfolio of spend, with a focus on rotating and… more
- SMX (Baton Rouge, LA)
- …will champion exemplary employee, customer, and strategic partner relations which promote value - based engagement and growth. The SVP is responsible for inspiring ... opportunities within the federal government and State & Local sector. + Provide leadership and guidance to mature and professionalize the Growth Team, fostering… more
- CenterWell (Baton Rouge, LA)
- …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
- Entergy (New Orleans, LA)
- …and impact to Entergy on outcomes. + Insightful business analytical skills to provide detailed reports with commentary based on data analysis; interpret data ... This is a hybrid role reporting to the office three days a week and can be based out of either our corporate headquarters in New Orleans, LA or our offices in The… more
- Evolent (Baton Rouge, LA)
- …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
- CVS Health (Kenner, LA)
- …in-depth compliance background. + Deep understanding of claims systems and processes, value - based contracts, TPL/COB, Pharmacy claims and how they impact total ... care, network contracting , call center management, encounter data processing, and provider data. + Must possess an understanding of how compliance and quality… more
- Entergy (Hammond, LA)
- …consider all elements of the warehousing, inventory, and logistics processes, and provide value to the business including an understanding of operational, ... for this position. **Note: This is an onsite role based out of our Distribution Center in Hammond, LA....by warehouse staff. + Communicate material shortages to customers. Provide customer interface for T&D storekeepers, managers, engineers, EAs… more
- Entergy (New Orleans, LA)
- …is a hybrid positon working at least 3 days a week in office and can be based out of our offices in New Orleans, LA, Jackson, MS, Little Rock, AR, or The Woodlands, ... utilizes extensive supply chain, category management, strategic sourcing, and contracting knowledge and experience to implement Supplier Commercial Excellence for… more
- Prime Therapeutics (Baton Rouge, LA)
- …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