- Elevance Health (Indianapolis, IN)
- ** 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 (Indianapolis, IN)
- ** 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 (Indianapolis, IN)
- …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
- The Cigna Group (Carmel, IN)
- …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
- Humana (Indianapolis, IN)
- …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, and applicable ... file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR) requirements. The… more
- Humana (Indianapolis, IN)
- …exceeds the discount guarantee. **KEY ACCOUNTABILITIES -** + Develop and maintain a cost effective provider network in the required PSAs. Requirements include ... in order to foster greater understanding of the TRICARE program and improve cost awareness. + Ensure that newly contracted providers submit accurate initial … more
- Elevance Health (Indianapolis, IN)
- …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
- Cardinal Health (Indianapolis, IN)
- …service, expert insights and enhanced purchasing power, you can deliver high-quality, cost -effective patient care and future-proof a practice. The Account ... market the changes along with the state of value-based care . The Account Executive will ensure a strong market...account, to include providing leadership and direction for all contract strategies, Request for Proposals (RFP) and locally negotiated… more
- Elevance Health (Wilkinson, IN)
- …applicable state law and contract . **How you will make an impact:** + Provide integrated whole-person Care Management under the CFSP Care Management ... **Managed Care Coordinator** **Sign-on Bonus: $1000** **We are currently...of members with chronic illnesses, co-morbidities, or disabilities for cost -effective and efficient service utilization. + Set short- and… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Care Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing requests for Applied Behavior… more
- Elevance Health (IN)
- …member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business ... leaders passionate about transforming American healthcare delivery. **Title:** Behavioral Health Care Manager I **Location:** Candidates residing in the state of… more
- CVS Health (Indianapolis, IN)
- …and other key internal teams to develop a value-based strategic plan and oversee contract performance with targeted provider groups to ensure we meet objectives ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Prime Therapeutics (Indianapolis, IN)
- …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
- Sharecare (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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
- Elevance Health (Bloomington, IN)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... (BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an...and Experiences:** + Experience working with older adults in care management, provider or other capacity, highly… more
- Elevance Health (IN)
- …and other locations as necessary. + Experience working with older adults in care management, provider or other capacity, highly preferred. + Experience managing ... the IN PathWays for Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- CenterWell (Indianapolis, IN)
- …locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized ... operations team members and complete data retrieval and analysis, cost of goods and gross margin financial modeling, report...put patients at the center. As the nation's largest provider of senior-focused primary care , one of… more
- Lilly (Indianapolis, IN)
- …and provides technical leadership and expertise in conjunction with API EM contract manufacturer personnel in the reliable supply and commercialization of medicines ... process, and operational control strategy at a number of Contract Manufacturers (CMs) + Assessment of the suitability of...+ Utilize past experiences with unit operation control to provide insight and feedback to members of the CM… more
- Elevance Health (Indianapolis, IN)
- …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