- Centene Corporation (Springfield, IL)
- …serving our communities. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability ... for issue resolution. Drive optimal performance in contract incentive performance , quality, and cost utilization. Participate in the development of network… more
- CVS Health (Chicago, IL)
- …This position is accountable for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts ( VBC ), by ... care while reducing costs. This role will serve as the analytics partner for VBC contracts, working with both internal and external partners, to provide medical cost… more
- CVS Health (IL)
- …it all with heart, each and every day. Implements Vale Based Care ( VBC ) National Specialty network strategies, monitors provider performance metrics, leads ... implements internal and external strategies to effectively assess and advance the performance of healthcare providers within the company's network. + Develops and… more
- CenterWell (Springfield, IL)
- …care and innovative payment models (eg, shared savings, episodic models, capitation, pay-for- performance ). The role requires deep experience in payer or managed care ... the ability to translate contract terms into financial, clinical, and operational performance . Home health or post-acute experience is preferred but not required.… more
- Elevance Health (Chicago, IL)
- …segmentation. Identify and stratify members into Affinity, Attribution, Care Management, VBC Program membership and Market benchmark populations based on member ... assigns members to specific risk arrangements and defines both target and performance benchmarks to determine their eligibility for care management, shared savings… more
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