• Manager, Provider Contracting Negotiator…

    The Cigna Group (Mclean, VA)
    …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member of ... the Provider Contracting...to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the… more
    The Cigna Group (10/29/25)
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  • Healthcare - Provider Contract Negotiator…

    The Cigna Group (Mclean, VA)
    …need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider Contracting ... of value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. + Initiates and… more
    The Cigna Group (10/10/25)
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  • Senior Manager, Provider Claims Diagnostics

    CVS Health (Richmond, VA)
    …work at home or hybrid, dependent on where the candidate lives.**_** The Provider Experience, Interoperability, Digital Solutions & Provider Operations ... ability to analyze & synthesize quantitative and qualitative data to derive actionable solutions + Experienced presenter with ability to provide different views… more
    CVS Health (11/06/25)
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  • Provider Success Consultant Sr.…

    Elevance Health (Ashburn, VA)
    Provider Success Consultant Sr. (Value-Based) JR171780 **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... providers in the Washington DC and Maryland areas. The **Care Consultant Sr.** ( Provider Success) is responsible for the provider performance of value-based care… more
    Elevance Health (11/07/25)
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  • Provider Contract/Cost of Care Consultant…

    Elevance Health (Norfolk, VA)
    Provider Contract/Cost of Care Consultant** provides analytical support to the Provider Contracting, Product and Solutions organizations. Focuses efforts on ... ** Provider Contract/Cost of Care Consultant** **Location:** This role...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
    Elevance Health (11/05/25)
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  • Sr. Medicare (PPS) Provider Hospital…

    Humana (Richmond, VA)
    …in complex Medicare reimbursement methodologies. This role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and ... help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part...compliance + Determine root causes driving issues and developing solutions + Working closely with IT and pricing software… more
    Humana (10/18/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Richmond, VA)
    …(EAPG, APR-DRG, MS-DRG, etc). This role is within the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...compliance + Determining root causes driving issues and developing solutions + Working closely with IT and pricing software… more
    Humana (11/17/25)
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  • Associate Director, Provider Engagement…

    Evolent (Richmond, VA)
    …WEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and practice ... transformation efforts in **California** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
    Evolent (10/24/25)
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  • Provider Services Lead

    General Dynamics Information Technology (Fairfax, VA)
    …Required:** MBI (T2) **Job Family:** Administration **Skills:** Communication,Healthcare Operations, Provider Network Management, Provider Relations, Provider ... the business and support impactful mission outcomes as the Provider Services Lead for a federal healthcare program at...power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across… more
    General Dynamics Information Technology (10/22/25)
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  • Consultant - Clinical Operations, Payer…

    Guidehouse (Arlington, VA)
    …purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of clinicians and former administrators, government ... will include client and project management, data and information analysis, solution implementation and generation of project results. As a Consultant, a… more
    Guidehouse (11/02/25)
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