- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Lake Mary, FL)
- …of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- CareFirst (Baltimore, MD)
- …the use of provider data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement inquiries and develops cost ... + Strong understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... and code data to draft and negotiate fixed-price and cost reimbursement care contracts. + Evaluates reimbursement...healthcare, business or related field. 1 year experience in contracting , provider recruitment or provider … more
- Corewell Health (Southfield, MI)
- …years of proven experience leading negotiations directly and independently or leading a provider contracting team in negotiations + Experience in finance or ... compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally,...geographic area. May be requested to present and represent Provider Network Contracting at meeting with external… more
- The Cigna Group (Salem, OR)
- …anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental ... provider recruitment and contracting as well as...visited offices via phone at home + Identifying, recruiting, contracting , and retaining qualified health care professionals… more
- Point32Health (Canton, MA)
- …Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and… more
- CVS Health (Frankfort, KY)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation… more
- Elevance Health (Mason, OH)
- …Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Hartford HealthCare (Hartford, CT)
- …**Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl Street Hartford (10484)* ... of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance....care finance and accounting issues . Knowledge of cost accounting and EPSi highly desired . Strong interpersonal… more
- Point32Health (Canton, MA)
- …management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. + ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide ...cost , and earnings. Build and maintain high performing provider networks utilizing risk-based structures and incentives whenever possible.… more
- Centene Corporation (Jefferson City, MO)
- …- Centene's ICHRA focused role. This includes overseeing activities of the provider contracting and network development functions for a national footprint ... require flexibility in job functions, which will evolve over time. + Oversee provider contracting activities to ensure efficiency and maintain compliance with… more
- Health Care Service Corporation (Albuquerque, NM)
- …for a motivated lawyer to provide counsel relating to complex contracting , including vendor, provider network, producer/customer, and strategic sourcing ... evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and...help advance HCSC's goal of expanding access to quality, cost -effective health care to help people live… more
- CVS Health (Lansing, MI)
- …a plus. + Understanding of Medicaid. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/ ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Mount Sinai Health System (New York, NY)
- …Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, implementation ... of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.… more
- Abbott (Abbott Park, IL)
- …Management, Finance, Forecasting, Contract Operations, and Access Strategies teams to provide strategic contracting partnership and analytical insights to ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...levels. As a Senior Manager of Strategic Pricing & Contracting , you will be responsible for managing contract development… more
- Xcel Energy (Denver, CO)
- …optimize successful project execution. **Essential Responsibilities** + Execute contracting and procurement strategy/tactics for large-scale capital projects ... ($250M+), sourcing for high value, complex goods and services. Develop should cost models and project justifications. Lead the process to define technical bid… more
- Xcel Energy (Minneapolis, MN)
- …to optimize successful project execution. **Essential Responsibilities** + Execute contracting and procurement strategy/tactics for capital projects, sourcing for ... high value, complex goods and services. Develop should cost models and project justifications. Lead the process to define technical bid requirements, specifications,… more
- CVS Health (Minneapolis, MN)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... our colleagues are committed to increasing access, lowering costs and improving quality of care . In this Director level role you will have the opportunity to have a… more
- Elevance Health (Mason, OH)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more