- Communities Connected for Kids (Port Saint Lucie, FL)
- …with law and policy. + Maintains documentation of all activities in official contract files. + Conducts cost -benefit analyses for contracted services. Evaluates ... and outcomes are submitted timely and in compliance with contract terms. + Ensures provider compliance with...or oversight of child welfare program delivery. Experience with contract management systems and Community-Based Care initiative.… 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
- 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
- Centene Corporation (New Port Richey, FL)
- …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
- 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 ... Duties** This role negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and… more
- Centene Corporation (Springfield, IL)
- …**Position Purpose:** Provide analytic support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for ... to better enable constructing enterprise and stand-alone applications Identify and quantify cost of care savings opportunities, recommend strategies to achieve… more
- Organon & Co. (Plymouth Meeting, PA)
- …Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. + **Customer Engagement:** Provide customer-facing support to troubleshoot ... and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing and implementing… more
- State of Indiana (Indianapolis, IN)
- …and Supports programs. You will serve as a subject matter expert on managed care programs and contract compliance within the Indiana Health Coverage Programs ... compliance liaison with the executive staff of the managed care entities (MCEs), assigned contract vendors, and...in meeting objectives or to determine areas of potential cost reduction, program improvement, or policy change. + Interpret… more
- Trinity Health (Boise, ID)
- …about 10 professionals - for support of growth, excellence, quality, and cost effectiveness surrounding provider recruitment strategies, policies, and processes ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** PROVIDER RECRUITMENT MANAGER** **TALENT ACQUISITION** **Boise, Idaho** Under the direction of… more
- Access Dubuque (Dubuque, IA)
- …is in place to cover the work being performed. Contracting + Maintain entity provider contract templates for MAHP in compliance with federal, state, CMS and ... Compliance, Privacy, and Contract Manager **Medical Associates** 1 Positions ID: ocAOwfwQ...Today, Medical Associates Clinic is the area's leading health care provider and only multispecialty group practice.… more
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