- Elevance Health (Indianapolis, IN)
- ** 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 (Indianapolis, IN)
- …promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Contract / Cost of Care Consultant Senior** provides ... the highest level of analytical support to the Cost of Care and/or Provider ...develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider … more
- Elevance Health (Indianapolis, IN)
- ** 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
- CVS Health (Indianapolis, IN)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... contract negotiator: + Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards. + Negotiates… more
- Humana (Indianapolis, IN)
- …38 market leader in integrated healthcare), works with the federal government to provide high-quality service and cost -effective platforms to support the needs ... party data validation, audit, and process improvement, to exceed contractual online directory contract guarantees. The AVP of Provider Data will be responsible… more
- Humana (Indianapolis, IN)
- …extensive business leadership experience, with several years in a managed care environment leading a network development/ provider relations function, including ... seeking an accomplished healthcare leader for the position of Vice President, National Provider Network Management. At a high level, this highly visible role will be… more
- Elevance Health (Indianapolis, IN)
- …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
- Elevance Health (Plainfield, IN)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager I** **Location:** Indiana **In Office ... & Hours:** Monday-Friday, 8:00AM -5:00 PM Eastern Time. The **Behavioral Health Care Manager I** is responsible for managing psychiatric and substance abuse or… more
- Prime Therapeutics (Indianapolis, IN)
- …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
- Humana (Indianapolis, IN)
- …. The case manager will offer guidance. support, and coordination of the beneficiary's care as directed by the beneficiary, the provider (s) or other members of ... health needs of TRICARE beneficiaries, to maximize each beneficiary's capacity for self- care , to cost -effectively achieve desired clinical outcomes and to… more
- Sharecare (Indianapolis, IN)
- …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
- Highmark Health (Indianapolis, IN)
- …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
- Elevance Health (Indianapolis, IN)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... (BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an...and Experiences:** + Experience working with older adults in care management, provider or other capacity, highly… more
- Lilly (Indianapolis, IN)
- …and provides technical leadership and expertise in conjunction with API EM contract manufacturer personnel in the reliable supply and commercialization of medicines ... process, and operational control strategy at a number of Contract Manufacturers (CMs) + Assessment of the suitability of...+ Utilize past experiences with unit operation control to provide insight and feedback to members of the CM… more
- Evolent (Indianapolis, IN)
- …years of professional experience in claims-based healthcare analytics with a payer, provider , clinical vendor, managed care , or related healthcare consulting ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Black & Veatch (Indianapolis, IN)
- …develop and implement the proposal win strategy on key opportunities. * Participate in cost review and influences team to provide responses with competitive ... a team of proposal managers with responsibilities from pursuit assignment to contract signing. * Manage team workload and proposal assignment activities. *… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …joining a company built to grow and last. You'll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen ... - Respond to inquiries and manage case information - Provide administrative assistance to US Immigration Judges, court management,...through 401(k) plan. As an employee working on a contract by the Service Contract Act, you… more
- CDM Smith (Indianapolis, IN)
- …project delivery teams by developing moderately to highly complex schedule and cost baselines. This role involves collecting and analyzing monthly schedule and ... cost data, identifying variances, and assisting in root cause...major projects and/or portfolio of projects in accordance with contract specifications. Evaluates and raises project early warning signals… more
- Prime Therapeutics (Indianapolis, 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 ... area of Prime Therapeutics. This position is also responsible for assisting contract negotiators and working with other internal departments regarding the financial… more
- Renaissance (Indianapolis, IN)
- …tools (and the data and information that support them) are competitive, cost effective and most importantly support the various business strategies, enhance ... organizational capability and foster employee engagement. This role will provide excellent customer service, ensure systems and processes are efficient, customer… more