- JE Dunn Construction Company (Nashville, TN)
- …optic system installations, both subcontracted and self-performed. + Instructs on proper care , custody, and control of assigned fiber and building technology scopes. ... on tracking budgets, costs, and productivity using project management tools and cost reports. + Teaches strategies for communicating key project information to… more
- Elevance Health (Nashville, TN)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... 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
- HCA Healthcare (Nashville, TN)
- … cost drivers, and market dynamics. + Negotiate key contract terms, including pricing, termination rights, indemnification, market competitive pricing, failure ... eligible. Do you have the career opportunities as a Contract Director you want with your current employer? We...join HealthTrust which is part of the nation's leading provider of healthcare services, HCA Healthcare. We are seeking… more
- HCA Healthcare (Nashville, TN)
- …eligible. Do you want to join an organization that invests in you as a Contract Manager? At HealthTrust, you come first. HCA Healthcare has committed up to $300 ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Molina Healthcare (Bowling Green, KY)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- CVS Health (Nashville, TN)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and alignment with organizational goals to ensure the delivery of exceptional provider experiences and operational excellence. This role serves as the primary… more
- HCA Healthcare (Nashville, TN)
- …seeking a(an) Cost Analyst for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our industry ... spend. Develops, revises and effectively communicates analytical summaries to identify cost savings opportunities, contract compliance, price parity issues,… more
- HCA Healthcare (Nashville, TN)
- …spend. Develops, revises and effectively communicates analytical summaries to identify cost savings opportunities, contract compliance, price parity issues, ... an organization that invests in you as a Senior Cost Analyst? At HealthTrust, you come first. HCA Healthcare...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Molina Healthcare (Bowling Green, KY)
- …standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost -effective member care . Essential ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more… more
- Rising Medical Solutions (Nashville, TN)
- …for all stakeholders. + Confidently guide cases by facilitating preferred provider selections and ensuring compliance with best practices in workers compensation ... + Opportunity to make a difference in reducing health care costs and increasing the value of health ...some of the most talented people in the medical cost -containment industry + We're on YouTube! Check out our… more
- Molina Healthcare (Bowling Green, KY)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Elevance Health (Nashville, TN)
- **JR168679 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... assessment and short-term problem resolution and referral to appropriate provider (s). **Location:** Virtual: This role enables associates to work virtually… more
- Molina Healthcare (Bowling Green, KY)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Molina Healthcare (Bowling Green, KY)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Molina Healthcare (Bowling Green, KY)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... health care concerns, uses clinical judgment to provide care management or refer members to...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- HCA Healthcare (Nashville, TN)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Molina Healthcare (Bowling Green, KY)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Bowling Green, KY)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Highmark Health (Nashville, TN)
- …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
- HCA Healthcare (Nashville, TN)
- …+ Oversee contract implementation with supplier and communication of contract implementation to HealthTrust account management. + Provide exceptional ... to a contract portfolio. In today's challenging business environment of cost pressures, supply disruptions, and workforce shortages, it is crucial for providers… more
