- Elevance Health (Columbia, MO)
- ** Provider Contract Cost of Care Analyst** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... Elevance Health PulsePoint locations. **Preferred Location:** Columbia, MO. The ** Provider Contract Cost of Care Analyst** is responsible for providing… more
- Elevance Health (Chicago, IL)
- ** Provider Contract / Cost of Care Analyst Senior** **Location:** Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal ... our Elevance Health PulsePoint locations. The ** Provider Contract / Cost of Care ...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Columbus, OH)
- ** Provider Contract / Cost of Care Consultant Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider / Cost of Care Consultant Senior** will mine data at a… more
- Elevance Health (Wilmington, DE)
- ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The ** Provider Contract , Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Louisville, KY)
- ** Provider Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... one of our Elevance Health PulsePoint locations. **Preferred Location:** Columbia, MO. The ** Provider Cost of Care Consultant** is responsible for providing… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …health care or managed care setting required. - Exceptional provider partnership and interpersonal skills. - Strong contract negotiation skills. - ... **Why This Role is Important to Us:** The Provider Contract Manager is responsible for...maintain provider contracts for a set of provider types, such as hospitals, PHOs, primary care… more
- Corewell Health (Grand Rapids, MI)
- …through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position ... and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives.… more
- The Cigna Group (Plano, TX)
- …health care data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Familiarity with various data ... **Business Analytics Associate - ( Provider Contract Analytics)** **Summary:** We are...management, medical management, and pricing business units to deliver contract analysis results in line with trend/ cost … more
- The Cigna Group (Birmingham, AL)
- …Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management** serves as an integral member of ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- Point32Health (Canton, MA)
- …Harvard Pilgrim and Tufts Health networks for all lines of business. The Senior Contract Manager is responsible for provider specialties that are more complex in ... Contract Manager will function as point person for provider recruitments; determining network needs and evaluating prospective providers.... care market and the needs/concerns of health care providers + 3+ years of direct contract… more
- MetroLink (Los Angeles, CA)
- Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and Compliance Salary ... + Questions SUMMARY PURPOSE OF POSITION The Manager II, Contract & Compliance, will perform highly complex work for...may involve, as a basis for reimbursement, fee-for-service, actual cost , or negotiated rate. TO APPLY: This is a… more
- Henry Ford Health System (Troy, MI)
- …improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting ... or APMEs) which reward providers for managing the total cost of care (TCOC), quality (eg MA...includes the Director, the SPCA and one or more Provider Services Administrators. Contract support will include… more
- Commonwealth Care Alliance (Boston, MA)
- …and Safety to improve the care we provide , thereby driving better care at lower cost , and helping members. will be the essential expert on compiling, ... to the Sr Director, **Quality Performance and Value Based Care ,** the Provider and Facility Quality &... deliverables and execute quality payments for the value-based care contract programs. + Review and analyze… more
- MyFlorida (Tallahassee, FL)
- …subject matter experts to + Negotiate contract terms and conditions, + Conduct cost analyses of provider budgets, and + Ensure ongoing provider delivery ... necessary. + Perform contract renewal, amendment and closeout duties, including contract evaluation and review and documentation of provider performance. +… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes conform to department standards, and validates… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... experience. **Experience** : 4 years experience in contracting, provider recruitment and/or provider relations 1 year Experience as a Contract Manager in the… more
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
- Molina Healthcare (Richmond, VA)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more