- Elevance Health (Richmond, VA)
- ** 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 (Richmond, VA)
- ** 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 (Richmond, VA)
- ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. 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
- Molina Healthcare (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. * Ideally the candidate should live ... performance and support the development and implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- Sedgwick (Richmond, VA)
- …in lieu of a degree. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education ... Taking care of people is at the heart of...Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Contract Manager II **PRIMARY PURPOSE** : To negotiate and/or… more
- InGenesis (Caroline County, VA)
- InGenesis is currently sourcing Advanced Practice Provider - Psychiatric candidates to work with our client. In this role, you will provide healthcare under the ... Welfare - additional per hour rate to help offset cost of insurance. * 2 weeks of PTO *...of complex psychiatric conditions. * Coordinates mental health patient care , off-site referrals, and collaborative duties through scheduled appointments,… more
- InGenesis (Caroline County, VA)
- …emergency within 4 minutes, where a fast walk or jog may be necessary to provide assistance. * Required to perform CPR/emergency care standing or kneeling. * ... InGenesis is currently sourcing Advanced Practice Provider candidates to work with our client. In...work with our client. In this role, you will provide healthcare under the scope of a collaborative practice… more
- CBRE (Richmond, VA)
- …basis and present these reports. Align cost plan with project master schedule; provide cost guidance and direction to achieve cost goals with ... cycle costing of LEED/sustainability initiatives (as appropriate). Review all invoices against cost plan; provide valuation services and signoff to project team… more
- Elevance Health (Richmond, VA)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... The **Foster Care Managed Case Manager** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Working… more
- Elevance Health (Richmond, VA)
- …responsibility for the member's case, as required by applicable state law and contract , contributes to the care coordination process by performing activities ... in conjunction with the RN, member and the health care team, to ensure cost effective and...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LPN/LVN, LSW,… more
- Prime Therapeutics (Richmond, VA)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- IMSolutions, LLC (Richmond, VA)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… 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 ... Population Health Coordinator is responsible for managing payer panels related to value-based contract quality and gap closure. This role serves as the primary lead… more
- Microsoft Corporation (Richmond, VA)
- …+ Route RFS approval to all stakeholders and regional approvers + Ensure lease provider 's compliance to lease agreement contract + Drive the business OKR for ... LCM will be responsible for ensuring that the lease provider is complying with the MSFT requirements in the...is complying with the MSFT requirements in the lease contract when delivering a project. The LCM will coordinate… more
- CVS Health (Richmond, VA)
- …systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Prime Therapeutics (Richmond, VA)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Humana (Richmond, VA)
- …data to identify opportunities to drive improvements in quality and/or reductions in total cost of care . + Creation of VBP payment strategies and model design, ... you. We design competitive and flexible benefits packages to provide our employees a sense of financial security now...degree. + Minimum 5 years of experience in managed care operations, provider reimbursement and analytics, and… 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
- Sedgwick (Richmond, VA)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more