- Elevance Health (Norfolk, VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... GA, Richmond, VA, Norfolk, VA or Mason, OH. 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 Cost of Care Analyst Senior**...to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs ... and adaptable workplace. Alternate locations may be considered. The ** Provider Cost of Care Analyst...from a financial impact perspective. + May recommend alternative contract language and may go on-site to provider… more
- Parsons Corporation (Fairfax, VA)
- …Procurement personnel on project subcontract matters. + Monitors project expenditures versus contract cost limitations. + Prepares letters to clients notifying ... them of contract cost limitations and requirements for additional...or any other protected status. We truly invest and care about our employee's wellbeing and provide … more
- The Cigna Group (Mclean, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- IMSolutions, LLC (Dumfries, VA)
- …expertise on the functionality of NITAAC's electronic Government Ordering System (e-GOS). + Provide helpdesk support for customers and contract holders on how to ... VA, US Salary Range: $100,000.00 to $115,000.00 Annually IMSolutions seeks a Contract Specialist / GWAC Management Specialist to fill an exciting opportunity… more
- Elevance Health (Richmond, VA)
- …to the market. + Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of ... strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- CVS Health (Richmond, VA)
- …data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care . + Conducts market ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Cardinal Health (Richmond, VA)
- …service, expert insights and enhanced purchasing power, you can deliver high-quality, cost -effective patient care and future-proof a practice. The Account ... market the changes along with the state of value-based care . The Account Executive will ensure a strong market...account, to include providing leadership and direction for all contract strategies, Request for Proposals (RFP) and locally negotiated… more
- Valor Health (Danville, VA)
- …mid-level provider . You will collaborate with the core PACT Team (Primary Care Provider , RN and Medical Assistant) and expanded PACT Team including ... casino to enjoy the nightlife! Danville offers a low cost of living making it a great place to...sick, paid holidays and personal time As a Primary Care Physician, you will provide prescribed medical… more
- Elevance Health (Norfolk, VA)
- …applicable state law and contract . **How you will make an impact:** + Provide integrated whole-person Care Management under the CFSP Care Management ... **Managed Care Coordinator** **Sign-on Bonus: $1000** **We are currently...of members with chronic illnesses, co-morbidities, or disabilities for cost -effective and efficient service utilization. + Set short- and… more
- Elevance Health (Bristol, VA)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... **Managed Care Coordinator** **Location:** Must reside in **Southwestern Virginia**...members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. + Establishes… more
- Parsons Corporation (Alexandria, VA)
- …and progress payments, contract changes and claims, time sheets and overtime, and cost estimates for changes to contract work; + Monitor and maintain ... data in the Procore system through direct input of contract related information or up- loading other data files;...or any other protected status. We truly invest and care about our employee's wellbeing and provide … more
- Somatus (Mclean, VA)
- …analytics to identify and communicate healthcare cost trends, issues, and total cost of care drivers. + Assist leadership in developing and evaluating ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to… more
- Prime Therapeutics (Richmond, VA)
- …value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the ... fashion. + Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancement)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... established benchmarks including hold buckets. + Ensures scheduling of staff to promote provider productivity as well as promote quality care and fiscal… more
- THOR Solutions, LLC (Norfolk, VA)
- …programs. + Provide primary contact between the Government and the contract team for overall program management, administration, and oversight of the engineering ... in Norfolk, VA. In this role, the candidate will provide expertise and oversight to support the maintenance, modernization,...+ Review and evaluate completed work performed under the contract and validate objectives, cost , quality, and… more
- Parsons Corporation (Centreville, VA)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... methods to accomplish them; develops in-depth knowledge of client objectives, contract terms, and corporate policies. Ensures that the program's project(s) meets… more
- Valor Health (Danville, VA)
- …mid-level provider . ?You will collaborate with the core PACT Team (Primary Care Provider , RN and Medical Assistant) and expanded PACT Team including ... casino to enjoy the nightlife! Danville offers a low cost of living making it a great place to...a Mental Health Licensed Clinical Social Worker, you will provide prescribed medical treatment and personal care … more
- Sharecare (Richmond, VA)
- …while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary Care Provider and all other members of the health care team ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Parsons Corporation (Centreville, VA)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... + Prepare, distribute, revise, coordinates approval process, and finalize invoices for all contract types + Ensure monthly invoices are submitted to client by a… more