- Elevance Health (Atlanta, GA)
- ** 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...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Atlanta, GA)
- ** Provider Cost of Care Analyst Senior**...to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs ... and adaptable workplace. Alternate locations may be considered. The ** Provider Cost of Care Analyst...from a financial impact perspective. + May recommend alternative contract language and may go on-site to provider… more
- Centene Corporation (Atlanta, GA)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Elevance Health (Atlanta, GA)
- Provider Success Consultant Sr. (Georgia Market) **Location:** This role requires associates to be in-office (Atlanta or Columbus) 1 - 2 days per week, fostering ... **in the** **state of Georgia** , and travel to provider locations in Georgia at a minimum of 50%...PEACHTREE ST NW** + **COLUMBUS, 6087 TECHNOLOGY PKWY** **The Care Consultant Sr.** is responsible for fostering long-term partnerships… more
- Humana (Atlanta, GA)
- …exceeds the discount guarantee. **KEY ACCOUNTABILITIES -** + Develop and maintain a cost effective provider network in the required PSAs. Requirements include ... in order to foster greater understanding of the TRICARE program and improve cost awareness. + Ensure that newly contracted providers submit accurate initial … more
- Elevance Health (Atlanta, GA)
- …to the market. + Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of ... strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Cardinal Health (Atlanta, GA)
- …service, expert insights and enhanced purchasing power, you can deliver high-quality, cost -effective patient care and future-proof a practice. The Account ... market the changes along with the state of value-based care . The Account Executive will ensure a strong market...account, to include providing leadership and direction for all contract strategies, Request for Proposals (RFP) and locally negotiated… more
- Elevance Health (Atlanta, GA)
- …The **Manager Senior Engineering** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you ... realized and recommends modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider contractors on… more
- Centene Corporation (Atlanta, GA)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned. +… more
- Molina Healthcare (Atlanta, GA)
- …Manages a team of employees who develop, negotiate, contract and enhance provider networks that are high quality, cost efficient and improve the lives ... * Leads and manages a high performing team who develop, negotiate, contract and enhance collaborative provider relationships, ensuring overall network… more
- Elevance Health (Atlanta, GA)
- **Behavioral Health Care Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing requests for Applied Behavior… more
- Prime Therapeutics (Atlanta, GA)
- …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
- Sharecare (Atlanta, GA)
- …while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary Care Provider and all other members of the health care team ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Prime Therapeutics (Atlanta, GA)
- …for lower-risk, lower spend, and lower complex vendor categories, including basic option/ cost analysis, contract drafting and redlining, and negotiations in ... 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
- Republic Services (Marietta, GA)
- …Area & Procurement leadership, the Area Procurement Manager leads strategic cost savings projects and handles tactical implementation of national procurement ... and related processes to maximize business opportunities and optimize cost for the assigned areas. This includes but is...needs with vendors in varied markets and works with contract management to finalize contract arrangements for… more
- Highmark Health (Atlanta, GA)
- …products and services, covering the Payor market, considering factors such as cost , market dynamics, and competitive landscape. Additionally, provide insight ... products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical data exchange… more
- CenterWell (Atlanta, GA)
- …locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized ... operations team members and complete data retrieval and analysis, cost of goods and gross margin financial modeling, report...put patients at the center. As the nation's largest provider of senior-focused primary care , one of… more
- Fresenius Medical Center (Kennesaw, GA)
- …FMS/USV/FVC policy requirements. Oversees all A/R functions for USV/FVC facilities to provide timely collections on A/R balances due the company and properly ... with all applicable company, industry, and regulatory requirements. Implements cost containment strategies as appropriate. Responsible for assuring proper… more
- Sargent & Lundy (Atlanta, GA)
- …and maintain strong client relationships through effective communication and timely updates. + Provide oversight to the projects overall cost and schedule. + ... Assess and mitigate the impact of scope changes on cost and schedule. + Develop project-specific construction management and/or...are met. + Handle disputes or claims arising from contract performance. + Adhere to estimated costs and ensure… more
- The Clorox Company (Alpharetta, GA)
- …management, commodity hedging (Resins and/or Oil), Cost Models / Should Cost / Clean Sheet analysis, negotiations, and contract management. The candidate's ... business and industry facing role will drive success factors such as Cost Leadership, Supply Resiliency, Growth through Innovation and Sustainability, and will play… more