- 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 ... an accommodation is granted as required by law. 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 (Norfolk, VA)
- ** Provider Contract / Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration ... NOTE: This position is not eligible for current or future VISA sponsorship._ The ** Provider Contract / Cost of Care Consultant** provides analytical… more
- Elevance Health (Norfolk, VA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Norfolk, VA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. 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 (Norfolk, VA)
- ** Provider Contract Cost of Care Consultant - VBC** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- The Cigna Group (Richmond, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the...and project the financial impact of larger or complex provider contracts and alternate contract terms. +… more
- Parsons Corporation (Centreville, 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
- 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
- City of Norfolk, Virginia (Norfolk, VA)
- Contract Administrator Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/5096921) Apply Contract Administrator Salary $59,393.29 - $68,301.95 ... to the public and internal City departments. Within this division, the Contract Administrator plays a critical role in managing vendor relationships, ensuring … more
- Planate Management Group LLC (Washington, VA)
- …and cost structures + Experience producing competitive commercial estimates and assessing cost risks. + Familiarity with contract terms, cost realism, ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- BOOZ, ALLEN & HAMILTON, INC. (Arlington, VA)
- …Program Office Estimates, Independent Government Cost Estimates, and Life Cycle Cost Estimates, using data science to provide meaningful insight into the ... Acquisition Cost Analyst The Opportunity: Do you want to...required. Compensation At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your… more
- CVS Health (Richmond, VA)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… 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
- Intermountain Health (Richmond, VA)
- …in care . Supports the efforts of providers and practice teams on office based care delivery interventions resulting in cost of care savings and improved ... and training techniques. Based on medical record metrics and contract obligations, conducts patient outreach and follow up in...the efforts of providers and practice teams on office-based care delivery interventions resulting in cost of… more
- Humana (Richmond, VA)
- … efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP ... and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this… more
- Elevance Health (Danville, VA)
- …applicable state law and contract . **How you will make an impact:** + Provide integrated whole-person Care Management under the CFSP Care Management ... **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **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 (Roanoke, VA)
- …member's cases with the clinical healthcare management and interdisciplinary team to provide care coordination support. The process does not involve clinical ... unless an accommodation is granted as required by law. The **Managed Care Coordinator - Southwest Virginia** is responsible for performing telephonic or face-to-face… more
- Highmark Health (Richmond, VA)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Elevance Health (Richmond, VA)
- …unless an accommodation is granted as required by law The **Behavioral Health Care Manager II - Virginia** is responsible for managing psychiatric and substance ... needs to ensure access to medically necessary, quality behavioral healthcare in a cost -effective setting in accordance with UM Clinical Guidelines and contract .… more