- Elevance Health (Atlanta, GA)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Atlanta, GA)
- …Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Atlanta, GA)
- …standardized practices to optimize cost of care . + Educates provider contractors on contracting analytics from a financial impact perspective. + ... ** Provider Contract/ Cost of Care ... Care Consultant** provides analytical support to the Provider Contracting , Product and Solutions organizations. Focuses… more
- Molina Healthcare (Macon, GA)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... Provider Community that result in high quality, cost effective and marketable providers. Contract/Re- contracting with...cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads… more
- Molina Healthcare (Columbus, GA)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- The Cigna Group (Atlanta, GA)
- …Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon ... total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist… more
- Centene Corporation (Augusta, GA)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- CVS Health (Atlanta, GA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... managing relationships with third-party vendors to ensure optimal performance, compliance, contracting and alignment with organizational goals to ensure the delivery… more
- Highmark Health (Atlanta, GA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- Fortive Corporation (Atlanta, GA)
- …For you, for us, for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data, software and services for all ... Gordian is the leader in facility and construction cost data, software, and services for all phases...the building lifecycle. As the pioneer of Job Order Contracting (JOC), Gordian delivers innovative solutions including proprietary RSMeans… more