- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Lake Mary, FL)
- …of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- The Cigna Group (Richmond, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative… more
- CareFirst (Baltimore, MD)
- …the use of provider data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement inquiries and develops cost ... + Strong understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated… more
- The Cigna Group (Columbus, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager. This role assists in developing the...cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... and code data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement...healthcare, business or related field. 1 year experience in contracting , provider recruitment or provider … more
- The Cigna Group (Mclean, VA)
- …- will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... and Marketing and Service + Supports strategic positioning for provider contracting , assists in the development of...cost and quality + Drives change with external provider partners by offering consultative expertise to assist with… more
- The Cigna Group (Cleveland, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- Corewell Health (Southfield, MI)
- …years of proven experience leading negotiations directly and independently or leading a provider contracting team in negotiations + Experience in finance or ... compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally,...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
- Point32Health (Canton, MA)
- …Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and… more
- CVS Health (Frankfort, KY)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation… more
- Elevance Health (Mason, OH)
- …Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Hartford HealthCare (Hartford, CT)
- …**Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl Street Hartford (10484)* ... of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance....care finance and accounting issues . Knowledge of cost accounting and EPSi highly desired . Strong interpersonal… more
- Point32Health (Canton, MA)
- …management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. + ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide ...cost , and earnings. Build and maintain high performing provider networks utilizing risk-based structures and incentives whenever possible.… more
- Centene Corporation (Jefferson City, MO)
- …- Centene's ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint ... require flexibility in job functions, which will evolve over time. + Oversee provider contracting activities to ensure efficiency and maintain compliance with… more
- Health Care Service Corporation (Albuquerque, NM)
- …for a motivated lawyer to provide counsel relating to complex contracting , including vendor, provider network, producer/customer, and strategic sourcing ... evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and...help advance HCSC's goal of expanding access to quality, cost -effective health care to help people live… more
- CVS Health (Lansing, MI)
- …a plus. + Understanding of Medicaid. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/ ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Mount Sinai Health System (New York, NY)
- …Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, implementation ... of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.… more
- Abbott (Abbott Park, IL)
- …Management, Finance, Forecasting, Contract Operations, and Access Strategies teams to provide strategic contracting partnership and analytical insights to ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...levels. As a Senior Manager of Strategic Pricing & Contracting , you will be responsible for managing contract development… more
- Xcel Energy (Denver, CO)
- …optimize successful project execution. **Essential Responsibilities** + Execute contracting and procurement strategy/tactics for large-scale capital projects ... ($250M+), sourcing for high value, complex goods and services. Develop should cost models and project justifications. Lead the process to define technical bid… more