- CVS Health (Springfield, IL)
- …and external customers. **Required Qualifications** . 5+ years of experience in value - based care in contracting , provider relations, provider ... provider relationships as part of the National Value Based Solutions Specialty Partnership team. You... contracting and clinical teams to create innovative value - based payment concepts. . Work with cross… more
- UPMC (Pittsburgh, PA)
- …responsible for the day-to-day operations of the Reimbursement and Contracting and Value Based Contracting Department. The position will be responsible ... areas of health plan on any issues pertaining to provider reimbursement, provider contracting or...impacted areas. + Lead Reimbursement, Contracting and Value Based Contracting team. +… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …negotiation, presentation, communication, interpersonal and time management skills + Innovative and value based contracting experience and expertise with ... anti-kickback statute, Medicaid Best Price, and regulatory guidance related to value - based contracting Skills/Knowledge/Abilities: + Keen understanding of… more
- CVS Health (Concord, NH)
- …successful track record negotiating contracts with hospitals. + Understanding knowledge of Value Based Contracting . + Microsoft Office/Excel proficient ... contract performance, and drives the development and implementation of value based contract relationships in support of...contracting targets and manage medical costs through effective provider contracting to meet state contract and… more
- Humana (Frankfort, KY)
- …experience + Risk- based deals and/or value - based care contracting experience + Understanding of medical insurance provider network dynamics and ... to corporate and market teams on managed care and value - based contracting ; Drafting and negotiating...or provider /vendor organization + Medicare and/or Medicaid provider contracting experience + Healthcare regulatory and/or… more
- Molina Healthcare (Columbus, OH)
- …Care, and/or Provider Network Mgmt & Operations with an emphasis on value based provider contracting . **Required License, Certification, ... live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards… more
- Molina Healthcare (Columbus, OH)
- …Health arrangements. Manages VBP's through negotiation, implementation, and management. Entail value - based contracting negotiations and understanding of ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value -...Network Contracting jobs are responsible for the value - based payments (VBP) network strategy and development… more
- CVS Health (Sacramento, CA)
- …years of experience in a health plan, health system or provider organization, ACO- Value Based Contracting / managed-care experience. + Proven ability to ... for all lines of business, complex Value Based Care models, and strategic provider partnerships,...and Product Offerings. **Preferred Qualifications** + Strong understanding of Value - Based Contracting Performance Management +… more
- Cleveland Clinic (Cleveland, OH)
- … Value Based team, the Project Manager will help support value based contracting , implementation, program management, and performance management for ... used to identify, evaluate, and develop recommendations to support value based contracting , planning, and...of health care business basics, including physician practice workflows, provider billing, risk coding and payor contracting … more
- Humana (Columbus, OH)
- …business driven needs, and capacity for expansion focus on support of evaluations of value based contracting and reporting. Key focus on creating capacity ... a part of our caring community and help us put health first** The Value - Based Care Infrastructure Associate Actuary will play a crucial role in supporting… more
- Molina Healthcare (Columbus, OH)
- …etc.) or equivalent experience **Required Experience** + 7+ years minimum experience in value - based care design or provider network strategy. + Experience ... **Job Description** **Job Summary** The National Program Director - Value - Based Care is a strategic leadership role...monitoring plans to track program performance, and iterate designs based on provider feedback, market dynamics, and… more
- Elevance Health (Richmond, VA)
- …skills needed. + Proven strategic provider partnership experience. + Value - Based contracting expertise and performance management experience. + ... leader committed to healthcare transformation through strategic leadership over all provider engagement and contracting activity in the Virginia market.… more
- Elevance Health (Waukesha, WI)
- …skills needed. + Proven strategic provider partnership experience. + Value - Based contracting expertise and performance management experience. + ... design (implementation), and development/oversight of all payment innovation programs ( value - based care), provider relations and...of business. + Develops provider networks that provide a competitive advantage. + Aligns contracting … more
- Molina Healthcare (Columbus, OH)
- …hospitals, providers: or type of contract, such as fee for service or value - based contracting . **Knowledge/Skills/Abilities** * Leads the market's strategy ... may oversee the implementation and management of value - based arrangements * Recruits and ensures provider ...both hospitals and providers. * Knowledge and experience with value - based contracting . * In-depth knowledge… more
- Elevance Health (Overland Park, KS)
- …and a minimum of 8 years' experience in contracting ( value based , shared savings and ACO development), provider relations, provider servicing; ... to negotiate rates with providers strongly preferred. + Medicare and Medicaid Value - Based Care contracting experience. KanCare preferred. + Experience… more
- CVS Health (Dover, DE)
- …provider issues/resolutions, related systems and information contained. + Understanding of Value - Based contracting and negotiations. + Preparing reports ... settlement negotiations of contracts with larger and more complex, market/regional/national based group/system providers including but not limited to individual and… more
- AmeriHealth Caritas (Washington, DC)
- …experience for various provider types.; + ;Experience with Provider Contracting and Contract Negotiations; + ;Knowledge of Value - Based Contracting ... experience presenting to leadership and executive teams.; + ;Building;relationships that;nurture provider partnerships and seek broader value - based business… more
- Henry Ford Health System (Troy, MI)
- …house legal-council and work through contract revisions with Payors. 2. Assist in developing Value Based contracting guidelines and take lead role in ... negotiating Value Based contract models and other complex payor relationships. 3....capacity, with at least one (1) year of payor contracting , provider relations or provider … more
- Takeda Pharmaceuticals (Boston, MA)
- …understanding of industry dynamics, health economics, pricing and reimbursement strategies, value - based contracting , and competitive intelligence. The ideal ... with Takeda will commence and that the information I provide in my application will be processed in line...+ Strong knowledge of health economics, outcomes research, and value - based contracting models. + Demonstrated… more
- J&J Family of Companies (Cincinnati, OH)
- …management, evidence dissemination workstreams, internal/external training, etc.). Support innovative/ value - based contracting initiatives including, but ... Provider Relations - MedTech Surgery.** This is a field- based remote role in the Preferred locations: West Virginia,...position will play a key role in executing innovative value - based care initiatives including innovative contracting… more