- 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 (Wilmington, DE)
- ** 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 (Indianapolis, IN)
- ** 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
- Commonwealth Care Alliance (Farmington Hills, MI)
- …health care or managed care setting required. - Exceptional provider partnership and interpersonal skills. - Strong contract negotiation skills. - ... **Why This Role is Important to Us:** The Provider Contract Manager is responsible for...maintain provider contracts for a set of provider types, such as hospitals, PHOs, primary care… more
- The Cigna Group (New York, NY)
- …be able to work 3 days per week in our Manhattan office._** The **Manager, Provider Contract Network Management** serves as an integral member of the Provider ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… more
- The Cigna Group (New York, NY)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- UNC Health Care (Apex, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- Elevance Health (Woburn, MA)
- … contractors, healthcare networks team and national business partners to meet provider contract needs. + Encourages change management with providers to ... 3 years' experience in data operations related to health care ; or any combination of education and experience, which...fee for service contracting experience. + Ability to analyze provider cost and quality, utilizing that data… more
- Fallon Health (Worcester, MA)
- … provider contracting, healthcare finance, provider reporting/profiling, and/or provider relations. Experience in provider contract negotiations, ... arrangements. Responds to both internal and external customers regarding provider contractual arrangements, both for contract implementation and ongoing… more
- Henry Ford Health System (Grand Rapids, MI)
- …improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting ... or APMEs) which reward providers for managing the total cost of care (TCOC), quality (eg MA...includes the Director, the SPCA and one or more Provider Services Administrators. Contract support will include… more
- Point32Health (Canton, MA)
- …Manager is responsible for the financial, regulatory, and legal terms negotiated with the provider network. The Senior Contract Manager must be able to develop ... utilized by Point32Health to understand the performance, financial and otherwise, of the provider network. The Senior Contract manager must be well versed in… more
- HCA Healthcare (Nashville, TN)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... **Description** **Introduction** Do you have the career opportunities as a(an) Contract Analyst you want with your current employer? We have an exciting opportunity… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... experience. **Experience** : 4 years experience in contracting, provider recruitment and/or provider relations 1 year Experience as a Contract Manager in the… more
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
- MetroLink (Los Angeles, CA)
- Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and Compliance Salary ... Remote Employment Flexible/Hybrid Job Number 23-2400115 Department Purchasing, Contracts & Contract Co Opening Date 04/17/2024 Closing Date Continuous + Description… more
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... during psychiatric hospitalization, including transfer to a higher level of medical care when needed.** **Summary:** An Advanced Practice Provider (APP)… 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
- Molina Healthcare (Grand Rapids, MI)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- The Cigna Group (Atlanta, GA)
- …Travel to in-person meetings with Providers AND several days at Home_** The **AVP, Provider Contract Network Management** serves as an integral member of the ... total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... Remote Employment Flexible/Hybrid Job Number 23-2400116 Department Purchasing, Contracts & Contract Co Opening Date 04/17/2024 Closing Date Continuous + Description… more