- Capital One (Richmond, VA)
- …be challenged on three types of work - Innovation, Business Intelligence and Data Management : _Innovation_ + Use Open Source/Digital technologies to mine ... Analyst - Client Analytics and Marketing Operations (CAMO), PULSE Network At Capital One, data is at...Drive an understanding and adherence to the principles of data quality management including metadata, lineage, and… more
- The Cigna Group (Mclean, VA)
- …will assist in developing the strategic direction and managing day-to-day contracting and network management activities for a local territory. Your work will ... If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be...risk arrangements. + Contribute to the development of alternative network initiatives. Support and provide direction to… more
- Capital One (Mclean, VA)
- Principal Associate, Data Science - Global Network Analytics, Data Solutions & Modeling Data is at the center of everything we do. As a startup, we ... part of our integration effort. GNA stands for Global Network Analytics within Discover's Global Payment Network ...to payment businesses covering the whole lifecycle of participant management . GNA Data Solutions & Modeling team… more
- CVS Health (Richmond, VA)
- …Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working knowledge ... + Prior experience across common claims management tools / resources including Availity provider portal, clearinghouse vendor partners, Electronic Data … more
- General Dynamics Information Technology (Fairfax, VA)
- …Trust/Other Required:** MBI (T2) **Job Family:** Administration **Skills:** Communication,Healthcare Operations, Provider Network Management , Provider ... relationship management skills. + Ability to analyze provider performance data and develop actionable improvement... and develop actionable improvement plans. + Proficiency with provider network management tools and… more
- KeenLogic (Merrifield, VA)
- …response, cyber security, insider threat, computer forensics, vulnerability assessment and management , network data capture, intrusion detection, log ... management , auditing, security incident and event management (SIEM), and penetration testing. This is a full-time...analysis efforts. + Correlate SIEM, EDR, IDS/IPS, and firewall data to identify and analyze potential incidents. + +… more
- Humana (Richmond, VA)
- …Degree + 5 or more years of Health care or managed care with Provider Contracting, Network Management , Provider Relations experience, value-based ... such areas as financial performance, incentive programs, quality and clinical management , population health, data sharing, connectivity, documentation and… more
- Elevance Health (Norfolk, VA)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... ** Provider Contract/Cost of Care Consultant** **Location:** This role...data sources to allow multiple departments access to network performance views. + Creates logic for reporting from… more
- Humana (Richmond, VA)
- …**Additional Responsibilities:** + Provider data auditing for compliance + Data management for reporting **Use your skills to make an impact** **Required ... support duties that require independent initiative and judgment. The Provider Contracting Coordinator manages provider network … more
- Evolent (Richmond, VA)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are… more