- Elevance Health (Atlanta, GA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Indianapolis, IN)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate ... our Elevance Health PulsePoint locations. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Avera (Minneapolis, MN)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) ... implementation of broad based, tiered, and narrow network products and value-based contract arrangements. Also lead medical cost reduction programs to identify… more
- Corewell Health (Grand Rapids, MI)
- …understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of provider contracts ... guidance in others. Essential Functions + Contributes to the contract development and negotiation process for provider ...contracts and contract information in the system contract database. + Provide effective oversight of… more
- The Cigna Group (Charleston, WV)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- The Cigna Group (Richmond, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Provider Contract Coordinator - SHP (Remote/Hybrid within SHP Service Area) ** ... Cost Center:** 682891544 SHP- Provider Network Mgmt **Scheduled...(United States of America) **Job Description:** **JOB SUMMARY** The Provider Contract Coordinator - Security Health Plan… more
- CVS Health (Boise, ID)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 3+ years ... Expert support for questions related to recruitment initiatives, contracting, provider issues/resolutions, related systems and information contained Provide … more
- CVS Health (Austin, TX)
- …medical cost initiatives. Required Qualifications: + 3+ years of provider contracting and relationship experience, including contract language, rate ... key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy. + Negotiate settlements and… 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