- CenterWell (Baton Rouge, LA)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health ... provider contracts. The Provider Contracting Professional 2 communicates...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- CenterWell (Baton Rouge, LA)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in ... and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for… more
- CVS Health (Baton Rouge, LA)
- …negotiate favorable contracts. + 3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract ... be proficient in Word, Excel, and Microsoft Office. **Preferred Qualifications** + Professional and Ancillary contracting experience. + Strong critical thinking,… more
- Entergy (St. Francisville, LA)
- …at nuclear sites. The Site Procurement Specialist utilizes and applies basic contracting and purchasing knowledge and experience to acquire services and materials ... role are Category Management, Central Procurement Group (CPG), Central Contracting Group (CCG), Procurement Engineering, Supplier Diversity, warehousing and… more
- Lumen (Baton Rouge, LA)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... to drive savings via RFPs, negotiations, demand management, value engineering. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (Baton Rouge, LA)
- …and teamwork + Detail oriented + Medicare & Medicaid network/product contracting experience. **Education** Bachelor's degree or equivalent professional ... and business partners across Aetna's Medicaid and Medicare lines of business provide national (LTSS) Long term support service network oversight for the coordinated… more
- CVS Health (Baton Rouge, LA)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Entergy (Baton Rouge, LA)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- Highmark Health (Baton Rouge, LA)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Entergy (Baton Rouge, LA)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- CVS Health (Baton Rouge, LA)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Baton Rouge, LA)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- Cardinal Health (Baton Rouge, LA)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- Entergy (Baton Rouge, LA)
- …**Minimum experience required of the position.** + **Analyst I** -0-2 years of professional experience. + **Analyst II** - 2-4 years of professional experience ... + **Analyst III** - 4-6 years of professional experience. + **Analyst Sr** - At least 6...and abilities required of the position.** + Understanding of contracting strategies and project schedule impact. + Thorough understanding… more
- Entergy (Baton Rouge, LA)
- …& trends monthly spend to develop a view on earned value and provide predictability when assessing the project forecast. + Actively performs Forensics Analysis on ... with an owner or contractor. + Understanding of commercial agreements and contracting strategies + Analytical skill set with advanced knowledge of Microsoft Office:… more
- Entergy (Baton Rouge, LA)
- …& trends monthly spend to develop a view on earned value and provide predictability when assessing the project forecast. + Actively performs Forensics Analysis on ... with an owner or contractor. + Understanding of commercial agreements and contracting strategies + Analytical skill set with advanced knowledge of Microsoft Office:… more
- CenterWell (Baton Rouge, LA)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- APTIM (Baton Rouge, LA)
- …guidance and support to resolve barriers and find innovative solutions. The role will provide leadership to staff and be the main point of contact to the client. ... with APTIM Federal SMEs to obtain guidance and support on Federal contracting and delivery standards. + Manage two related programs, strategies, budgets having… more