- CenterWell (Indianapolis, IN)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health ... provider contracts. The Provider Contracting Professional 2 communicates...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Deloitte (Indianapolis, IN)
- … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... the trusted advisor to leaders on multiple accounts. + Provide mentoring and training to Risk Management colleagues and...will bring to the table: + Strong understanding of professional services contracting lifecycle with an emphasis… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- Elevance Health (Indianapolis, IN)
- …Requires a BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include prior ... development using actuarial models strongly preferred. + Experience with ancillary provider and/or dialysis facility contracting . + Value-based contracting… more
- CenterWell (Indianapolis, IN)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in ... and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for… more
- Elevance Health (Indianapolis, IN)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... ** Provider Network Manager** Carelon Behavioral Health **_Location:_** **_Hybrid...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. **How you will make… more
- Elevance Health (Indianapolis, IN)
- **SCA Provider Enrollment Representative I- Part B** **_Location:_** _This role enables associates to work virtually full-time, providing maximum flexibility and ... and Medicaid Services to transform federal health programs. The **SCA Provider Enrollment Representative I** is responsible for accurate and timely processing… more
- CVS Health (Indianapolis, IN)
- …negotiate favorable contracts. + 3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract ... be proficient in Word, Excel, and Microsoft Office. **Preferred Qualifications** + Professional and Ancillary contracting experience. + Strong critical thinking,… more
- Lumen (Indianapolis, IN)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... to drive savings via RFPs, negotiations, demand management, value engineering. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (Indianapolis, IN)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Entergy (Indianapolis, IN)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- Highmark Health (Indianapolis, IN)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Entergy (Indianapolis, IN)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- CVS Health (Indianapolis, IN)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Indianapolis, IN)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- Elevance Health (Indianapolis, IN)
- …and ongoing contract monitoring. Role will oversee Trade Sales and Pharma Contracting efforts. **Team Scope** 9 Direct reports, 6 Indirect reports **Position ... for continued LDD access and pharma program growth. + Oversees Pharma Contracting strategy and process. + Develop and leads Biosimilar market evolution strategy.… more
- Elevance Health (Indianapolis, IN)
- …not limited to: + Review, analyze, and research to support the negotiations for provider contracting , under the supervision of an attorney. + Prepares, analyzes, ... an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Provider Contracting experience preferred. + Experience in managed care… more
- Cardinal Health (Indianapolis, IN)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- Fluor (Lebanon, IN)
- …At Fluor, we design and build the world's toughest projects. We provide professional and technical solutions to deliver safe, well-executed, capital-efficient ... coordination with Project Management and Client team, this position develops the contracting strategy and plan for the project, developing effort hour estimates for… more