• Provider Value Based

    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
    CVS Health (05/12/25)
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  • Provider Contracting Executive

    Humana (Springfield, IL)
    …+ 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
    Humana (05/07/25)
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  • Associate Actuary - The Value

    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
    Humana (05/14/25)
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  • CMO Aetna Better Health of Illinois

    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
    CVS Health (05/09/25)
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  • Counsel

    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
    Humana (05/01/25)
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  • Director Reimbursement Design & Market Evaluation

    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
    Highmark Health (03/04/25)
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  • Provider Engagement Manager

    Evolent (Springfield, IL)
    …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
    Evolent (05/09/25)
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  • Senior Manager, Network Management, National…

    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
    CVS Health (05/07/25)
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  • Senior Vice President of Growth - Enterprise…

    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
    SMX (05/14/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Springfield, IL)
    …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
    CenterWell (04/24/25)
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  • Practice Performance Advisor (Must Reside…

    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
    Evolent (03/09/25)
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  • Collaboration Client Partner

    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. (04/25/25)
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  • Principal Cloud Services Specialist

    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
    NTT America, Inc. (04/25/25)
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  • Network Client Services Manager

    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
    Prime Therapeutics (05/06/25)
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  • Procurement BTO, Sr. Consultant

    CBRE (Springfield, IL)
    …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
    CBRE (03/27/25)
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  • Application Cloud Modernization Architect…

    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
    Cognizant (04/03/25)
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  • Senior Principal, Health Plans Underwriter…

    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
    Prime Therapeutics (04/19/25)
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  • Vice President, Real-world Data & Evidence…

    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
    Cardinal Health (04/29/25)
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  • Program Manager, SPS Vendor Management - Remote

    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 (04/29/25)
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  • Business Development Strategist Principal…

    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
    Prime Therapeutics (04/12/25)
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