- CenterWell (Sacramento, CA)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health ... provider contracts. The Provider Contracting Professional 2 communicates...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Deloitte (Sacramento, CA)
- … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... the trusted advisor to leaders on multiple accounts. + Provide mentoring and training to Risk Management colleagues and...will bring to the table: + Strong understanding of professional services contracting lifecycle with an emphasis… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- RELX INC (Sacramento, CA)
- …more than 2.7 million readers every day, is owned by LexisNexis Legal & Professional (R) and part of RELX, a global provider of information-based analytics and ... a global provider of information-based analytics and decision tools for professional and business customers, enabling them to make better decisions, get better… more
- CenterWell (Sacramento, CA)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in ... and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for… more
- CVS Health (Sacramento, CA)
- …negotiate favorable contracts. + 3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract ... be proficient in Word, Excel, and Microsoft Office. **Preferred Qualifications** + Professional and Ancillary contracting experience. + Strong critical thinking,… more
- CVS Health (Sacramento, CA)
- …and teamwork + Detail oriented + Medicare & Medicaid network/product contracting experience. **Education** Bachelor's degree or equivalent professional ... and business partners across Aetna's Medicaid and Medicare lines of business provide national (LTSS) Long term support service network oversight for the coordinated… more
- Highmark Health (Sacramento, CA)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- PRIDE Industries (Roseville, CA)
- …**MINIMUM QUALIFICATIONS:** . Supervisory skills to hire qualified employees, provide for their professional development, administer performance management ... to practical situations. . Seven or more years of increasingly responsible professional facility management and contracting experience with a wide variety… more
- CVS Health (Sacramento, CA)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Sacramento, CA)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- Performance Contracting, Inc. (North Highlands, CA)
- **Company Overview** **Performance Contracting Group** is a national employee-owned specialty contractor that offers quality services and products to the commercial, ... contribute to your fullest potential. We place high value on training and professional development, encouraging you to broaden and strengthen your unique skill sets… more
- CommonSpirit Health (Rancho Cordova, CA)
- …of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of contracting and negotiation ... (MOU) and other contract documents are signed by the appropriate parties and provide the fully executed contract documents to the Contract Administration team. 5.… more
- Cardinal Health (Sacramento, CA)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- CommonSpirit Health (Rancho Cordova, CA)
- …reimbursement, protects the interests of the owned and/or affiliated hospitals/ancillaries/ professional provider entities in contract negotiations, and ... is primarily focused on payer relationships and health plan contracting for all managed care lines of business and...applicable work streams. 9. Represents Physician Enterprise entities in Provider Excess bidding process with broker each year to… more
- CenterWell (Sacramento, CA)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- AECOM (Sacramento, CA)
- …efficient strategies in decision-making in the acquisition process. + Formulates the contracting approach to be taken that will best satisfy the requirement. ... contract, maintains liaison with the contractor to interpret contractual obligations and provide problem resolution under the direction of the Contract Manager. +… more
- Pearl Interactive Network (Sacramento, CA)
- …- We are looking for candidates with specialized experience in government contracting (GovCon), particularly within federal agencies such as the **Department of ... government program officials, addressing project status, issues, and concerns. + Provide regular updates and reports to government stakeholders on project… more
- RELX INC (Sacramento, CA)
- …a global provider of information-based analytics and decision tools for professional and business customers, enabling them to make better decisions, get better ... Government Income, Asset, Eligibility ecosystem: customers, partners, competitors, consultants, contracting , regulation, laws, etc. + Have understanding of emerging… more