- Elevance Health (Richmond, VA)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice, analytic and consultative ... ** Provider Contract Cost of Care Consult Senior / VBC**...support to Medical Directors and management on cost of care issues. Leads large scale initiatives… more
- CVS Health (Richmond, VA)
- …each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution ... processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and… more
- Humana (Richmond, VA)
- …Office applications **Preferred Qualifications** + Bachelor's degree + Experience with New Network Management + Experience with QuickBase + Proficiency in ... experience in negotiating managed care contracts with physicians, hospitals and/or other provider contracts + 2+ years of network development and… more
- Highmark Health (Richmond, VA)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... + Act as subject matter expert with recommendations and data supporting development of network and sales...staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models… more
- CACI International (Sterling, VA)
- Network Problem Management Quality Assurance Lead Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI with ... **The Opportunity** : We are seeking an experienced ITIL Network Problem Management Quality Assurance Lead to...issues + Develop and maintain quality standards for problem management processes + Provide training and guidance… more
- Bon Secours Mercy Health (Richmond, VA)
- …of Position** In collaboration with Market President, the Physician and Provider Relationship Manager is responsible for incremental improvement of in- network ... referrals across the BSMH Product Portfolio. The PPRM uses data to make informed decisions that guide a strategic...changes in care delivery to optimize care coordination of in- network offerings for empaneled patients. + Identifies barriers and… more
- University of Virginia (Charlottesville, VA)
- …Following a 2-4 month onboarding process (experience dependent), newly hired APPs will provide management of same day care of oncology patients in clinic ... Center Emergency Response Team (CERT)/Oncology Same Day Care Clinic (OSDC) advanced practice provider (APP) Service. The APP hired for this position will join a… more
- Capital One (Mclean, VA)
- Director, Product Management , DevX - Network Observability **Director, Product Management (PXDP60)** Product Management at Capital One is a booming, ... **About the Team** We are a passionate and entrepreneurial Product Management team embracing bold ideas, fueling innovation and enabling delightful experiences… more
- Optiv (Herndon, VA)
- …roadmaps. + Solid understanding of cloud security governance, identity and access management , network security, data protection, and compliance frameworks ... the successful delivery of a portfolio of client engagements. You will provide technical delivery oversight, manage client relationships, and lead project … more
- University of Virginia (Charlottesville, VA)
- …and cost on the delivery of healthcare + Collects and analyzes patient data to document the impact of nursing practice on outcomes, efficiency, and ... healthcare community + Promotes the professional practice of the Advanced Practice Provider through responsible interfaces with the public and health care community… more