- Elevance Health (Waukesha, WI)
- ** 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
- Molina Healthcare (WI)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… more
- CVS Health (Madison, WI)
- …contracting, provider issues/resolutions, related systems and information contained. + Provide guidance and share expertise to others on the team. + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (Milwaukee, WI)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Green Bay, WI)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (WI)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- American Family Insurance - Corporate (Madison, WI)
- …location._ _Relocation support is offered for eligible candidates._ The Lead Source-to- Contract (S2C) Process Owner is responsible for leading the development, ... implementation, and maintenance of the Procurement Source-to- Contract (S2C) processes. You will look to streamline processes,...proposed and ongoing projects based on value, risk, effort, cost and strategic alignment. + You will develop and… more
- Option Care Health (Madison, WI)
- …us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care , so we are investing in a culture that ... infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality...resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than… more
- Molina Healthcare (Kenosha, WI)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Molina Healthcare (Green Bay, WI)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Intermountain Health (Madison, WI)
- …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
- Molina Healthcare (Racine, WI)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Molina Healthcare (Wauwatosa, WI)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION **Family Care with My Choice Wisconsin** Job Summary Provides...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Highmark Health (Madison, WI)
- …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
- Leonardo DRS, Inc. (Menomonee Falls, WI)
- …Drive programs. We are looking for someone to direct the daily execution of contract requirements that ensure cost , schedules, and performance goals are met on ... Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems,...a large, complex program. **What You Will Do** + Provide interface, communication and coordination with internal and external… more
- Leonardo DRS, Inc. (WI)
- …and government agencies around the world. **Job Summary** **Job Responsibilities** + Provide support of the Financial & Program Analysis management functions to the ... how job costs are collected and billed on all contract types + Obtain agreement on previously determined goals...accepted accounting principles and a working knowledge of the cost accounting standards (CAS) and IFRS + Support Proposal… more
- WM (Milwaukee, WI)
- …Stericycle is a US based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health ... the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and… more
- CVS Health (Madison, WI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Madison, WI)
- …will manage a team of software developers responsible for applications that process provider demographic, contract , and pricing information which is crucial in ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UMB Bank (Madison, WI)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. This position reports to the Senior Vice President,… more