- Elevance Health (Columbus, OH)
- …check, or ask you for payment as part of consideration for employment. **Cost of Care Mgr (US)** + Job Family: PND > Network Contracting + Type: Full time + Date ... New Hampshire + Maine **Description** The Cost of Care Mgr leads and manages multiple cost of care initiatives...care analytics team, to developing action plans, benefits and risk assessments and overseeing and partnering with the actuarial… more
- CVS Health (Buffalo Grove, IL)
- …health care more personal, convenient and affordable. Position Summary The Sr Mgr , PBM Benefits Modernization is responsible for managing the technical needs across ... with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives...for automation and innovation to reduce dependency on high risk legacy platforms. + Experience in identifying and documenting… more
- Hartford HealthCare (Farmington, CT)
- …and $16 million dollars in denials, overseeing the effective appeals of these claims and protecting against bad debt in this endeavor. These numbers will increase ... Develops and implements performance improvement plans where appropriate * Internal: Risk Management, Patient Experience, Finance, Care Continuum, HIM, IT, Care… more
- HCA Healthcare (San Antonio, TX)
- … medical device related events according to the requirements of the Safe Medical Device Act. + Initiates Probable Claims Report (PCR) as appropriate. ... to do excellent work with us. Your benefits include 401k, PTO medical , dental, flex spending, life, disability, tuition reimbursement, employee discount program,… more
- CVS Health (Frankfort, KY)
- …for designing conceptual models, initiative planning, and negotiating high value/ risk contracts with the most complex and challenging, market/region/national, ... network strategic plans to achieve value based contracting targets and manage medical costs through effective value based contracting to meet state contract(s) and… more
- CVS Health (Buffalo Grove, IL)
- …health care more personal, convenient and affordable. Position Summary The Sr Mgr Application development is responsible for managing the technical needs across PBM ... This position works closely with other technical leaders of the myPBM space & Claims Adjudication team to assess business goals, strategic objectives and to build a… more
- AECOM (Portland, OR)
- …with, and communicates with the Owner's project team (CO, PM, COR, Ppty Mgr , O&M, stakeholders, etc); and professionally interfaces with the project design and ... the construction activities, completion of work, contract compliance, recognizes risk and develops mitigation strategies, minimizes unsatisfactory work and exposure… more