- CVS Health (Springfield, IL)
- …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 (Springfield, IL)
- …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
- CVS Health (Springfield, IL)
- …ability to influence and drive better outcomes in healthcare delivery. 3. Understanding of Value Based Contracting /Accountable Care and how this relates to ... provider engagement/experience. Collaborate with network teams to optimize provider performance, value based arrangements, and strategically… more
- Humana (Springfield, IL)
- …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 (Springfield, IL)
- …+ 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
- Humana (Springfield, IL)
- …leadership of Provider Performance and Analytics functions, supporting Humana's value - based contracts and trend bender initiatives. + Maintain commercial ... the communities we serve. The Vice President will also provide executive leadership to the National Contracting ,...executive leadership to the National Contracting , Ancillary Contracting , Behavioral Health Contracting and Provider… more
- CVS Health (Springfield, IL)
- …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
- SMX (Springfield, IL)
- …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
- Cardinal Health (Springfield, IL)
- …developing team members, and innovation + Develops and implements managed care contracting strategy including implementation of value - based reimbursement ... of Navista's Physician Office's revenue cycle, managed care and value based care programs and services. Key...and develop strategic growth opportunities, partnering with the payer, provider , and service partners to enhance care delivery and… more
- CVS Health (Springfield, IL)
- …Summary: Manages contract performance, and drives the development and implementation of value based contract relationships in support of business strategies. ... to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. Collaborates… more
- Evolent (Springfield, IL)
- …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
- NTT America, Inc. (Springfield, IL)
- …getting buy-in from all stakeholders. + Responsible for ensuring data is accurate based on sales reporting standards to provide data-driven insights. + Consults ... qualify current needs and effectively articulates how the company can add value through its Collaboration services and solutions offering. + Responsible for… more
- NTT America, Inc. (Springfield, IL)
- …for getting buy-in from all stakeholders + Guides on ensuring data is accurate based on sales reporting standards to provide data-driven insights. + Advises on ... and qualify current needs and effectively articulate how the company can add value through its services and solutions offering. + Guides on addressing the objections… more
- Prime Therapeutics (Springfield, IL)
- …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
- Cognizant (Springfield, IL)
- …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 (Springfield, IL)
- …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 (Springfield, IL)
- …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 (Springfield, IL)
- …, 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 (Springfield, IL)
- …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 (Springfield, IL)
- …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