- The Cigna Group (Jersey City, NJ)
- …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
- Premera Blue Cross (Mountlake Terrace, WA)
- …knowledge, and Premera product knowledge to foster a collaborative approach to quality care , network stability and cost containment. + Develop and maintain ... and internal leadership, providing industry and cross-market expertise. Create provider specific and public presentations. + Provide ...in payer or provider contracting and managing provider relationships in the health care or… more
- Centene Corporation (Springfield, IL)
- …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
- Centene Corporation (Jackson, MS)
- …management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Conducts ... to identify and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care + Uses data analytics to track… more
- Centene Corporation (Sacramento, CA)
- …management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- The Cigna Group (Richmond, VA)
- …total medical cost and quality. + Drive change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... to the development of alternative network initiatives. Support and provide direction to develop network analytics required for the...and project the financial impact of larger or complex provider contracts and alternate contract terms. +… more
- The Cigna Group (Cleveland, OH)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- Centene Corporation (Augusta, GA)
- …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
- Highmark Health (Buffalo, NY)
- …meetings, deliverables, resources etc. for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative ... markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk...and workflow across the continuum of variability in primary care and experience in managing provider and… more
- Molina Healthcare (Long Beach, CA)
- …4 years provider contract support or negotiation experience in the health care field including, but not limited to, provider 's office, managed care ... and credentialing. **Job Duties** This role negotiates assigned contracts with non-complex provider community that result in high quality, cost effective and… more