- 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)
- …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 (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
- CVS Health (Atlanta, GA)
- …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 (Atlanta, GA)
- …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
- 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
- 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
- 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
- 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
- Humana (Atlanta, GA)
- …. 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 (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
- 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
- Stantec (Atlanta, GA)
- …manpower histograms. * Perform schedule risk analysis periodically or as required. * Provide support on the development of program cost expenditure forecast ... When you care deeply about the work you do, it's...from concept to completion. We partner with clients to provide both program management and construction management to strategize,… 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
- 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
- Generac Power Systems (Atlanta, GA)
- …day management of the design, procurement and construction of a project including cost , schedule and quality control. Works directly with the client as the client's ... and sub-contractors. Directs the site management team, design team, contract administration, construction accounting, and others as required to assure… more
- Evolent (Atlanta, GA)
- …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 (Atlanta, GA)
- …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