- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes ... and/or other provider contracts and agreements. The Provider Contracting Professional 2...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms, payment… more
- Health Care Service Corporation (Chicago, IL)
- …health care providers. Objectives of this position includes overseeing the SE region of provider contracting in the Eastern region for MA markets for all FFC ... needed methodologies. 9. Develop, implement and maintain processes and standards for provider network expansion, contracting and servicing. Ensure that quality… more
- Health Care Service Corporation (Chicago, IL)
- …and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible overall provider ... 1. Responsibility over all Health Spring Eastern Region MA contracting decisions and outcomes- including managing terminations, adequacy, affordability for… more
- Trane Technologies (Willowbrook, IL)
- …and adoption/surrogacy assistance. + **401K** **match** up to 6%, plus an additional 2 % core contribution = up to **8%** company contribution. + **Paid time off,** ... developing communication plans with both internal and external stakeholders to provide timely project updates + Utilizes properly qualified subcontractors, oversees… more
- Humana (Springfield, IL)
- …understanding of health plan operations, and strong interpersonal skills. The Provider Engagement Professional develops and grows positive, long-term ... relationships with physicians, providers and healthcare systems. The Provider Engagement Professional (Physician and LTSS) roles and responsibilities include: +… more
- Humana (Springfield, IL)
- …help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across assigned markets to ... Business Review Meetings (QBR) with assigned market leaders to provide updates on VBP model performance, answer questions and...questions and resolve issues, consult on VBP strategy and provider targets, and ensure timely decision making on VBP… more
- Highmark Health (Springfield, IL)
- …programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of provider contract ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Rush University Medical Center (Chicago, IL)
- …to work directly with various payers, senior staff in International Health, Provider Practices/Billing Services, RUMC Finance, Contracting , Finance, EDW and ... is key to ensuring Rush Health is recognized as a competent and professional organization. Exemplifies the Rush mission, vision and values and acts in accordance… more
- College of American Pathologists (Northfield, IL)
- …final hotel orders and documentation ensuring accuracy and alignment with CAP requirements. 2 . Hotel Sourcing & Contracting + Oversee sourcing of hotels and ... As the world's largest organization of board-certified pathologists and leading provider of laboratory accreditation and proficiency testing programs, the College of… more
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