- Elevance Health (Las Vegas, NV)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Las Vegas, NV)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for Humana's ... provider agreements with Humana's strategic goals, the Senior Provider Contracting Professional helps ensure network adequacy, competitive reimbursement… more
- Centene Corporation (Carson City, NV)
- …field or equivalent experience. 6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of ... Federal health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:** Current state driver's… more
- Centene Corporation (Carson City, NV)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Centene Corporation (Carson City, NV)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Molina Healthcare (NV)
- …of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . **Knowledge/Skills/Abilities** * ... BHT treatment plans to evaluate effectiveness and treatment efficacy. * Collaborates with provider contracting and providers services to support recruitment and … more
- Highmark Health (Carson City, NV)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- CVS Health (Carson City, NV)
- …behavioral health providers and facility types - Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, ... 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 (Carson City, NV)
- …working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems + Experience in related ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive … more
- CDM Smith (Henderson, NV)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Panasonic North America (Sparks, NV)
- …masses a reality by producing the world's safest, highest quality, and lowest cost batteries. PECNA operations, and thus this role, are co-located with Tesla Inc. ... and leadership in Newark, NJ. **Essential Duties:** **Category Management** + Provide sourcing category expertise for all related categories including insourcing vs.… more
- Prime Therapeutics (Carson City, NV)
- …address changing market demands and ensure Prime is delivering the highest quality and lowest cost of care to its members and related client messaging as well as ... pipeline to capitalize on savings through effective negotiation and contracting + Develop strong working relationships and communication at...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Molina Healthcare (Las Vegas, NV)
- …Predictive Modeling, and Disease Management. + Leads the health plan's analysis of medical care cost and utilization data. Leads and manages the development of ... years relevant experience + Peer Review, medical policy/procedure development, provider contracting experience. + Preferred License, Certification, Association… more
- Planate Management Group LLC (Las Vegas, NV)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... solutions + Coordinate and monitor project tasks to ensure timely and cost -effective delivery + Build and maintain effective working relationships with contractors,… more
- Prime Therapeutics (Carson City, NV)
- …Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose ... sales and client implementation support. You will oversee roles that provide product and technical solution expertise throughout the client engagement lifecycle-from… more