- CenterWell (Springfield, IL)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health ... provider contracts. The Provider Contracting Professional 2 communicates...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Deloitte (Chicago, IL)
- … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... the trusted advisor to leaders on multiple accounts. + Provide mentoring and training to Risk Management colleagues and...will bring to the table: + Strong understanding of professional services contracting lifecycle with an emphasis… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- Jacobs (Chicago, IL)
- …as the primary point of contact as you monitor the contractor's performance and provide technical advice to the Contracting Official and contractor within the ... your success, and the global community - join us as a Contracting Officer's Technical Representative(COTR)/Resident Engineer (RE) to support the Amtrak ADA Stations… more
- CenterWell (Springfield, IL)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in ... and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for… more
- CVS Health (Springfield, IL)
- …negotiate favorable contracts. + 3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract ... be proficient in Word, Excel, and Microsoft Office. **Preferred Qualifications** + Professional and Ancillary contracting experience. + Strong critical thinking,… more
- CVS Health (Springfield, IL)
- …and teamwork + Detail oriented + Medicare & Medicaid network/product contracting experience. **Education** Bachelor's degree or equivalent professional ... and business partners across Aetna's Medicaid and Medicare lines of business provide national (LTSS) Long term support service network oversight for the coordinated… more
- CVS Health (Springfield, IL)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Highmark Health (Springfield, IL)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more