- Elevance Health (Richmond, VA)
- ** 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
- Prime Therapeutics (Richmond, VA)
- …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
- 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
- Elevance Health (Richmond, VA)
- **Behavioral Health Care Manager I - Ameriben** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... including medical management. **Hours: 8am-5pm (Local time)** The **Behavioral Health Care Manager I** is responsible for managing adult and pediatric inpatient… more
- CVS Health (Richmond, VA)
- …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 (Richmond, VA)
- **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 (Richmond, VA)
- …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
- Help at Home (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Oracle (Richmond, VA)
- …impact related to data center, network, and server infrastructure + **Strategic Deal Cost Modeling:** Provide critical financial and cost -structure insight ... **Job Description** Are you an expert at dissecting and optimizing the massive cost structures behind **global cloud infrastructure** ? Do you thrive on the… 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
- Humana (Richmond, VA)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… 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
- Bon Secours Mercy Health (Mechanicsville, VA)
- …and resource to managers and others. + Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on the ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our...to his or her age, specific needs and to provide the care needed as described in… more
- Oracle (Richmond, VA)
- …in region and market dynamics is preferred Experience in leading complex negotiations, contract formation, and contract negotiations Knowledge of real estate and ... date - driving each performance metric (safety, quality, rates, schedule, cost , etc.) within critical timelines required by the business. Manage multiple… more
- Owens & Minor (Richmond, VA)
- …facilities across the US and 22,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care ... and implemented. + Handles all Enterprise-wide support issues (e-Business, pricing, contract terms, etc.). + Coordinates information and leads all contract… 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)
- …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...specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies.… more
- Oracle (Richmond, VA)
- …will ensure that all deployments adhere to security, compliance, and cost optimization best practices for each hyperscaler. **Qualifications** + Bachelor's or ... and maintaining AI models in production environments + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex… more