- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. 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 (Richmond, VA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Richmond, VA)
- …office. **Position Overview:** Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider ...modifications as applicable + Recommends standardized practices to optimize cost of care + Educates provider… more
- The Cigna Group (Richmond, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the...and project the financial impact of larger or complex provider contracts and alternate contract terms. +… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Highmark Health (Richmond, VA)
- …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 (Richmond, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UMB Bank (Richmond, VA)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. This position reports to the Senior Vice President,… more
- HCA Healthcare (Richmond, VA)
- …times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for thedelivery of charitable care , uninsured discounts, and other uncompensated ... HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare. This position supports...medical coverage that covers many common services at no cost or for a low copay. Plans include prescription… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... patient testing or procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …for a Physician Investigator track. The incumbent physician is expected to provide comprehensive patient care in the form of consultative, and ... inpatient and outpatient hematology/oncology patient care including monitoring parental and oral anti-cancer therapy administration...to grow your career. The city also boasts a cost of living that is 4.9% lower than the… more
- Elevance Health (Richmond, VA)
- …more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medically necessary, quality healthcare in a cost effective setting according to contract . +...and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management… more
- Generac Power Systems (Richmond, VA)
- …customer expectations by directing the site management team, design team, contract administration, construction accounting, and others as required. Works directly ... management of a project's design, procurement, and construction, including cost , schedule, and quality control. Coordinates all team bandwidth requirements… more
- Bon Secours Mercy Health (Midlothian, VA)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... and confidential matters effectively. Able to express opinions openly and honestly and provide feedback in a timely and productive manner. Ability to examine and… more
- Elevance Health (Colonial Heights, VA)
- …state law and contract ; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health ... care across the care continuum. **How you...members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. +… more
- CDM Smith (Richmond, VA)
- …federal background check. * Knowledge of design review, construction administration, cost estimating, scheduling, and contract management. * Demonstrates ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Prime Therapeutics (Richmond, VA)
- …address changing market demands and ensure Prime is delivering the highest quality and lowest cost of care to its members and related client messaging as well as ... contact for complex client, manufacturer, and other external partner contract analyses and language needs + Provide ...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- CDM Smith (Richmond, VA)
- …matches construction plans. Identifies deficiencies in constructed structures. Reviews contract terms and conditions. Ensures construction timelines, costs, and ... materials are in compliance with contract terms and conditions. Provides technical guidance and training...the work of more junior staff. Documents deficiencies, expected cost overruns, materials issues and any other related construction… more
- Lilly (Richmond, VA)
- …these roles, each individual will apply the Lilly Strategic Sourcing Process to provide the customer the greatest value within the allowed timeframe. The ideal ... as supplier relationships and performance to develop and implement cost effective sourcing strategies for each area that reduce...of the supplier due diligence process, RFP process oversight, contract negotiation and award, and oversight of the … more