- 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
- Elevance Health (Woodbridge, NJ)
- ** 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
- UNC Health Care (Apex, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… 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 (Independence, OH)
- …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
- CVS Health (Hartford, CT)
- …it all with heart, every single day. We are seeking a **Senior Manager of Provider Contract & Pricing Testing** to join our expanding Testing Center of ... experience managing quality assurance projects. + 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance, or related… more
- CVS Health (Juneau, AK)
- …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 (Sacramento, CA)
- …contracting, provider issues/resolutions, related systems and information contained + Provide guidance and share expertise to others on the team + Understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more