- Elevance Health (Mason, OH)
- ** Provider Contract /Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... GA, Richmond, VA, Norfolk, VA or Mason, OH. The ** Provider Contract /Cost of Care Consultant** provides analytical...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Elevance Health (Manchester, NH)
- Associate Referral Bonus: $250 Provider Network Manager Sr. - Contract Negotiations (JR151123) **Location:** This role requires associates to be in-office 2 days ... ** Provider Network Manager Sr** . develops the provider network through contract negotiations, relationship development,...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- New York State Civil Service (Albany, NY)
- … health and substance use disorder treatment parity laws and MHPAEA;* Analyzes health insurance contract forms submitted for approval to the Department ... the handling of special projects or the operations of health insurance programs; * Researches and prepares...(ADA), the Department of Financial Services is required to provide reasonable accommodation for known physical or mental limitations… more
- Avera (Minneapolis, MN)
- … Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans ... to join and remain in the network. + Maintain provider manual and policies and maintain contract ...PTO available day 1 for eligible hires. + Free health insurance options, for full-time single coverage… more
- AdventHealth (Maitland, FL)
- …and claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- The Cigna Group (Independence, OH)
- …+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates "HCP" agreements ... Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the … more
- BrightSpring Health Services (Charlotte, NC)
- …home, transportation, shopping and more. Responsibilities + Receive the Individual into the Provider 's home and to provide the Individual with appropriate daily ... Our Company ResCare Community Living Overview A Host Home provider is an independent contractor who opens their home and heart to an adult with a development… more
- Highmark Health (Camp Hill, PA)
- …+ Master's Degree **EXPERIENCE** **Required** + 5 years in the Health Insurance industry + 1 years with Provider Contract Negotiations **Preferred** ... related to assigned hospital providers. + Responsible for end-to-end provider contract administration and maintenance for assigned...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Henry Ford Health System (Troy, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... 9. Assist in the development and revision of department policies and processes. 10. Provide guidance and assist other Contract Administrators. 11. Provide … more
- Henry Ford Health System (Detroit, MI)
- …continuum of services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual ... a professional capacity. + Knowledge of managed care organizations and integrated health systems. + Previous contracting, provider relations and/or provider… more
- The Cigna Group (Bloomfield, CT)
- …+ **Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data, ... + **3+ years of Healthcare experience, required.** + **Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed… more
- Sharp HealthCare (San Diego, CA)
- … provider orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally ... and provider communications to ensure compliance with regulations and contract requirements.Coordinates plan medical group and provider transitions and… more
- Great River Health (West Burlington, IA)
- …Job Details: Scheduled Hours: Day Shift Job Description: A Brief OverviewThe Contract Analyst is responsible for healthcare insurance reimbursement analysis; ... applicable regulations, guidelines and policies related to payment variances, including insurance medical/ provider policies, and appeals processes + Ability to… more
- Corewell Health (Grand Rapids, MI)
- …and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives. ... network development plans and deploy strategies to move providers to desired contract terms according to guidelines and standards. Provide effective oversight… more
- Amergis (Boulder, CO)
- …to your success. 2. Full Benefits: We offer comprehensive benefits, including a W2 Contract , health insurance (vision and dental), 401k plans and more. ... Questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or state regulation)...following benefits: + Competitive pay & weekly paychecks + Health , dental, vision, and life insurance +… more
- Corewell Health (Grand Rapids, MI)
- …past years of experience to creatively design contracts that add value for Corewell Health . Lead tactically by helping junior staff with complex contract terms ... and negotiating techniques to help prepare for successful contract discussions. The successful candidate will also lead administratively by managing internal… more
- Fallon Health (Worcester, MA)
- … health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize... contracting, healthcare finance, provider reporting/profiling, and/or provider relations. Experience in provider contract… more
- AdventHealth (Maitland, FL)
- …be called to lead strategic managed care contracting initiatives for individual provider entities. Facilitates compliance of contract terms for assigned payers ... negotiator for assigned mid-level and low-level tier managed care health plans in facilitating contract negotiations with...to facilitate long term partnerships between AHS and contracted health plans. Assists AHS provider business unit… more
- AmeriHealth Caritas (Philadelphia, PA)
- …of several efforts supporting the Keystone Health Plan East Children's' Health Insurance Program (CHIP) contract with the Pennsylvania Department ... State system + Executes mailing of bi-annual Federally Qualified Health Center (FQHC) provider prescription claims reconciliation...pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your… more
- Elevance Health (Richmond, VA)
- …on contracting analytics from a financial impact perspective. + May recommend alternative contract language and may go on-site to provider premises during ... ** Provider Cost of Care Analyst Senior** **Location:** This...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more