- 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 (Lake Mary, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- CVS Health (Columbia, SC)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 3 + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...years experience with provider contract negotiation or provider … more
- The Cigna Group (Mclean, 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
- Highmark Health (Pittsburgh, PA)
- …organizational strategy. + Support market expansion and program activities by leading provider contract analysis and network development related to due ... networks across expansion markets. Performs periodic analyses of the provider network from a cost , coverage, and...data and/or market information to derive conclusions to support contract negotiations. Conducts periodic review of provider … more
- CVS Health (Hartford, CT)
- …professionals. We are seeking a **Manager - Aetna Claim Adjudication System (ACAS) Provider Contract Testing** to join our Testing Center of Excellence (TCOE). ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Hartford, CT)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and a workforce of over 300,000 purpose-driven professionals. We care for people where, when, and how they choose,...and compassionate. We are seeking a **Senior Manager, Commercial Contract Testing** to join our Testing Center of Excellence… 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
- CareFirst (Baltimore, MD)
- …matter expert (SME) in contracting and reimbursement, offering insights during contract development and negotiations with smaller provider practices based ... and market analysis. + Supports negotiations, development of strategy, market and provider intelligence, and contract execution for institutional, ancillary and… more
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