- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Mason, OH, or Tampa, FL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- Elevance Health (Columbus, OH)
- ** 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** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... Louis, MO; Atlanta, GA; Columbus, GA; Chicago, IL. 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
- Stanford Health Care (Palo Alto, CA)
- …**Locations** Stanford Health Care **What you will do** + Negotiates contract language and reimbursement, for primarily transplant, high- cost drug, and ... Responds to physician, pharmacy, and administrative concerns relative to contract pricing, cost , managed care ,...a promise of a particular wage. At Stanford Health Care , we seek to provide patients with… 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 (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 ... the health and well-being of the unique communities we serve. **_Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex and is… more
- The Cigna Group (Charleston, WV)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- UNC Health Care (Morrisville, NC)
- …and communicates potential strategies for maintaining market readiness. **5. Value-based care contract negotiation.** Manages the end-to-end contracting process ... community partners to improve the quality and accessibility of care while lowering the cost of ...needs, as well as researches and analyzes data to provide necessary information. Analyzes financial, contractual and operational issues… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contract Manager** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 77365 + ... care purchasing strategies and initiatives, along with participating in managed care contract development and negotiations. They will monitor compliance of… more
- Point32Health (Canton, MA)
- …Manager is responsible for the financial, regulatory, and legal terms negotiated with the provider network. The Senior Contract Manager must be able to develop ... utilized by Point32Health to understand the performance, financial and otherwise, of the provider network. The Senior Contract manager must be well versed in… 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
- 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
- Elevance Health (Columbus, OH)
- The Cost of Care Mgr leads and manages...acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as ... multiple cost of care initiatives enterprise wide (eg local, within each state,... improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual… more
- WellSense (Manchester, NH)
- … Manager facilitates development; implementation and management of new and current cost -effective provider networks for multiple products. Under the direction of ... a variety of provider entities across New Hampshire and will ensure contract terms and conditions comply with financial and legal requirements of Plan and its… 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
- 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 (Boise, ID)
- …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
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... during psychiatric hospitalization, including transfer to a higher level of medical care when needed.** **Summary:** An Advanced Practice Provider (APP)… more