- The Cigna Group (Raleigh, NC)
- …member to join our growing and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor. In this role, you will conducts ... hospital and professional provider contract underwriting/analysis, partnering with Contracting to...contract underwriting/analysis, partnering with Contracting to deliver unit cost results in line with trend/ cost expectations… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... guidelines and other regulatory and accreditation standards. **Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex… more
- UNC Health Care (Chapel Hill, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- Centene Corporation (Raleigh, NC)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- CVS Health (Raleigh, NC)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... framework to make financial decisions to resolve provider issues. Explain provider 's rights and responsibilities in accordance with contract . + Process claim… more
- Baylor Scott & White Health (Raleigh, NC)
- …management skills. + Able to negotiate and revise contracts in order to maximize cost effective care . + Proven problem-solving and data-based skills. + Able to ... 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no- cost and low- cost degrees, certificates and more + Immediate access to time… more
- Elevance Health (Durham, NC)
- …VISA sponsorship._ The **Senior Health Economics Analyst** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- Compass Group, North America (Charlotte, NC)
- …Compass Group-- which is the world's largest contract food and support services provider . **Why Foodbuy?** We care about our associates, our clients, and our ... We pride ourselves on our ability to source and provide a variety of products and services that help...and services that help our customers more easily, and cost effectively, run their businesses. We work with clients… more
- UNC Health Care (Goldsboro, NC)
- …matters relating to physician performance . h. Leads Medical Staff improvements in care transitions, care standards, cost reduction initiatives, resource ... among the various clinical components of Wayne UNC Health Care with a goal of providing high quality, efficient...for the provision of services; coordinates across departments to provide a maximum level of services to patients, family,… more
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