• Provider Contract / Cost…

    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 ... GA, Richmond, VA, Norfolk, VA or Mason, OH. 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 (06/11/25)
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  • Provider Cost of Care Analyst…

    Elevance Health (Atlanta, GA)
    ** Provider Cost of Care Analyst Senior**...to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs ... and adaptable workplace. Alternate locations may be considered. The ** Provider Cost of Care Analyst...from a financial impact perspective. + May recommend alternative contract language and may go on-site to provider… more
    Elevance Health (06/13/25)
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  • Provider Contracts Manager

    Molina Healthcare (GA)
    …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
    Molina Healthcare (04/30/25)
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  • Mgr, Contract Negotiation

    CVS Health (Atlanta, GA)
    …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... contract negotiator: + Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards. + Negotiates… more
    CVS Health (06/04/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Atlanta, 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
    Centene Corporation (05/07/25)
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  • Senior Contract Management Professional

    Humana (Atlanta, GA)
    …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, and applicable ... file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR) requirements. The… more
    Humana (06/13/25)
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  • Manager, Provider Contracts

    Molina Healthcare (Macon, GA)
    …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Utilizes standardized contract ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. *...concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with… more
    Molina Healthcare (06/03/25)
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  • Business Information Consultant Senior…

    Elevance Health (Atlanta, GA)
    …to the market. + Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of ... strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
    Elevance Health (06/10/25)
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  • Senior Manager, Strategic Planning…

    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 ... heart, each and every day. **Position Summary** Supports network teams in provider negotiations and financial risk for Commercial, Medicare, Medicaid, and IFP… more
    CVS Health (05/21/25)
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  • Complex Care Management

    Centene Corporation (Atlanta, GA)
    …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned. +… more
    Centene Corporation (06/05/25)
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