- Elevance Health (Durham, NC)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. 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
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... guidelines and other regulatory and accreditation standards. **Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex… 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 ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- UNC Health Care (Morrisville, NC)
- … cost models for departments, service lines, procedures, and payers. + Provide actionable insights to support pricing strategies, contract negotiations, and ... the unique communities we serve.** **Summary:** This position leads the system-wide cost accounting and decision support function for an integrated healthcare system… more
- Prime Therapeutics (Raleigh, NC)
- …Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager… more
- UNC Health Care (Morrisville, NC)
- …to develop plants to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its ... . This position will utilize AI-enabled platforms to centralize payer- provider agreements, automate extraction of key contract ...at least 7 years of progressive experience in managed care contracting within a healthcare provider or… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Autism Care Navigator, (ASN) collaborates and oversees member assessment, planning, facilitation, care ... needs through communication and available resources to promote quality, cost -effective outcomes. Coordinate medical, behavioral and other services for beneficiaries… more
- Humana (Raleigh, NC)
- …us put health first** The IT Vendor Management Lead - EMR, Clinical Care Delivery & Home Health Platforms supports strategic suppliers that underpin clinical ... workflows, care delivery systems, electronic health/medical records (EHR/EMR), and home health operations. This role requires deep understanding of health-tech… more
- Elevance Health (Durham, NC)
- …for overseeing and monitoring healthcare services to insure quality, compliance, and cost -effectiveness. Coordinate care across providers and settings to improve ... plans and ensure they are appropriate, high quality, and cost -effective. + Coordinate care between delegated ...determinants of health, to meet the member's needs and provide patient education. + Escalate member crises, or quality… more
- UNC Health Care (Chapel Hill, NC)
- …counseling and clarification of insurance issues to help facilitate access to and provide continuity of care for transplant patients. The Transplant Financial ... and pharmacy representative to ensure that patient is receiving care as defined by the contract . Contacts...with patient and/or family members with emphasis on the cost of transplantation. Advises patient on how to apply… more
- Elevance Health (Durham, NC)
- **Behavioral Health Care Manager II (ABA)** **Sign-on bonus: $3,500** **Virtual:** This role enables associates to work virtually full-time, except for required ... for autism and depression, and insightful analytics to improve the delivery of care . **Location:** North Carolina The **Behavioral Health Care Manager II (ABA)**… more
- UNC Health Care (Chapel Hill, NC)
- …scale projects, and recommend proposals as appropriate to upper management. Develop cost estimates and provide recommendations for corrective work. 7. Negotiate ... of the facilities and spaces owned, leased, and maintained by the UNC Health Care System. **This position is responsible for the oversight of the General Maintenance… more
- Highmark Health (Raleigh, NC)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- CVS Health (Raleigh, NC)
- …from their analysis and develops recommendations to inform key decision makers + Provide input into performance monitoring and contract language to ensure ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Help at Home (Raleigh, NC)
- **Overview** _Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with ... caregivers across 12 states. We're looking for people who care about others, who are willing to listen, lean...estate partner (Cushman & Wakefield), ensures effective vendor and contract management, and leverages the Coupa procurement system to… more
- Prime Therapeutics (Raleigh, NC)
- …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)....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Red Hat (Raleigh, NC)
- …you ready to apply your cloud engineering expertise to optimize and automate cloud cost management? Join Red Hat's Hybrid Cloud Management (HCM) team as a Senior ... Cloud FinOps Engineer and help implement effective cloud cost optimization solutions. In this role, you'll collaborate with...GCP + Strong analytical skills to identify inefficiencies and provide actionable insights from cloud data + Expertise in… more
- Help at Home (Raleigh, NC)
- …will play a large role in evaluating new vendor partnerships in order to provide cost saving initiatives across the organization. This position offers a flexible ... **Overview** _Help at Home is the leading national provider of in-home personal care services,...large role in evaluating new vendor partnerships in order to provide cost saving initiatives across the… more
- Western Digital (Raleigh, NC)
- …The ideal candidate will have extensive experience in supplier negotiations, contract management, cost reduction strategies, and commodity market analysis. ... key supplier relationships, driving strategic sourcing initiatives, and ensuring cost -effective procurement across specific commodity categories. This is a principal… more
- Humana (Raleigh, NC)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... cost reduction, by increasing the accuracy of provider contract payments in our payer systems,...peer reviews to ensure compliance with coding guidelines and provide reports as needed + Maintain strict patient and… more