• Provider Value Based

    CVS Health (Springfield, IL)
    …and external customers. **Required Qualifications** . 5+ years of experience in value - based care in contracting , provider relations, provider ... provider relationships as part of the National Value Based Solutions Specialty Partnership team. You... contracting and clinical teams to create innovative value - based payment concepts. . Work with cross… more
    CVS Health (05/12/25)
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  • Provider Contracting Executive

    Humana (Springfield, IL)
    …+ Master's Degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting **Additional Information** + Travel up to 20% ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or… more
    Humana (05/07/25)
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  • Associate Actuary - The Value

    Humana (Springfield, IL)
    …business driven needs, and capacity for expansion focus on support of evaluations of value based contracting and reporting. Key focus on creating capacity ... a part of our caring community and help us put health first** The Value - Based Care Infrastructure Associate Actuary will play a crucial role in supporting… more
    Humana (05/14/25)
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  • CMO Aetna Better Health of Illinois

    CVS Health (Springfield, IL)
    …ability to influence and drive better outcomes in healthcare delivery. 3. Understanding of Value Based Contracting /Accountable Care and how this relates to ... provider engagement/experience. Collaborate with network teams to optimize provider performance, value based arrangements, and strategically… more
    CVS Health (05/09/25)
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  • Counsel

    Humana (Springfield, IL)
    …risk adjustment and the Stars quality program + Experience in managed care and value - based contracting **Additional Information** As part of our hiring ... Please be aware that applicants may be asked to provide their Social Security Number, if it is not...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (05/01/25)
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  • Director II, Site Contracting Global…

    AbbVie (Mettawa, IL)
    …clinical site contracting support roles around the world, and (5) provide program and project management for key activities throughout AbbVie's clinical site ... Purpose: Overall leader of the global Operations team within AbbVie's Global Site Contracting (GSC) function. Responsible for guiding the global teams that (1) lead… more
    AbbVie (04/12/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Springfield, IL)
    …+ 3 years Value - based reimbursement, through managed care contracting , provider reimbursement, consulting, population health delivery or related areas + ... current health care delivery state, readiness for change, test value based programming concepts and components, identify...programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3… more
    Highmark Health (03/04/25)
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  • Provider Relations Manager

    Molina Healthcare (Joliet, IL)
    …an external-facing, field- based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully ... Provider Community that services Molina members, including but not limited to Value Based Payment and other Alternative Payment Method contracts. It is… more
    Molina Healthcare (05/02/25)
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  • Provider Engagement Manager

    Evolent (Springfield, IL)
    …Three (3) years of provider relations, account management, and/or provider contracting , claims/reimbursement experience * Knowledge of healthcare, managed ... Accountable to internal and external stakeholders, leverage market intelligence to inform provider engagement efforts on high- value providers, with emphasis on… more
    Evolent (05/09/25)
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  • Director, HTA, Value & Evidence (HV&E)

    Pfizer (Lake Forest, IL)
    …evidence development relevant to achieve optimal patient access by demonstrating the value of our supportive care medicines. The HV&E Director will be responsible ... will be part of Pfizer's dynamic Global Access & Value (GAV) team and will have the important role...better for Pfizer's patients and healthcare. **ROLE RESPONSIBILITIES** + Provide strategic input into clinical trial designs (eg, patient… more
    Pfizer (05/09/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Springfield, IL)
    …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... arrangements, and regulatory requirements. **Preferred Qualifications** * Proven working knowledge of value based (VBC) and Pay for Performance (P4P) behavioral… more
    CVS Health (05/07/25)
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  • Sr. Account Manager

    Fortive Corporation (Chicago, IL)
    …all phases of the building lifecycle. A pioneer of Job Order Contracting , Gordian's solutions also include proprietary RSMeans data and Facility Intelligence ... Manager who demonstrates professionalism, construction, Construction procurement and JOB Order Contracting / IDIQ Delivery methods and delivers results through their… more
    Fortive Corporation (04/23/25)
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  • Senior Vice President of Growth - Enterprise…

    SMX (Springfield, IL)
    …will champion exemplary employee, customer, and strategic partner relations which promote value - based engagement and growth. The SVP is responsible for inspiring ... opportunities within the federal government and State & Local sector. + Provide leadership and guidance to mature and professionalize the Growth Team, fostering… more
    SMX (05/14/25)
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  • Counsel - Global Commercial Operations

    Amgen (IL)
    …+ Drafting and negotiating pricing agreements, supply agreements and/or value - based agreements with above mentioned entities to provide for strategic ... lives. Our award-winning culture is collaborative, innovative, and science based . If you have a passion for challenges and...role you will be responsible for counseling Amgen's commercial value and access organization on a wide variety of… more
    Amgen (05/09/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Springfield, IL)
    …committed to the principles of comprehensive primary care and unlocking the power of value - based care for patients at national scale. S/he will be a proven ... excellence, where doing the right thing for patients and team- based care within a value - based ...management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding… more
    CenterWell (04/24/25)
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  • Category manager - Payments

    BP Americas, Inc. (Chicago, IL)
    …- proven experience in managing strategic supplier relationships and fostering long term partnership based on trust etc. At bp, we provide an excellent working ... Travel Centers of America, AMPM retail sites and our Earnify loyalty brand provide a great customer experience. The CMSA delivers relevant, value -adding… more
    BP Americas, Inc. (05/07/25)
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  • Partner, US Trade and Channel Accounts

    Astellas Pharma (Northbrook, IL)
    …We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping our focus on addressing ... on Astellas, please visit our website at www.astellas.com . This position is based in Northbrook, Illinois. Hybrid work from certain states may be permitted in… more
    Astellas Pharma (05/06/25)
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  • Practice Performance Advisor (Must Reside…

    Evolent (Springfield, IL)
    …years relevant work experience + Must reside in Florida + Strong background in value based /full risk PCP MSO/IPA arrangements related to Medicare Advantage and ... programs + Experience in healthcare administration with strong emphasis in Provider Operations and/or Network Development/ Provider Contracting strategies… more
    Evolent (03/09/25)
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  • Vice President, Commercial Planning

    R1 RCM (Chicago, IL)
    R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical ... needs, key stakeholders, and decision makers, crafting bespoke engagement models and value propositions that resonate. Every day, you will oversee all aspects of… more
    R1 RCM (05/07/25)
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  • Collaboration Client Partner

    NTT America, Inc. (Springfield, IL)
    …getting buy-in from all stakeholders. + Responsible for ensuring data is accurate based on sales reporting standards to provide data-driven insights. + Consults ... qualify current needs and effectively articulates how the company can add value through its Collaboration services and solutions offering. + Responsible for… more
    NTT America, Inc. (04/25/25)
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