- Elevance Health (St. Louis, MO)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. 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
- CVS Health (Jefferson City, MO)
- …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
- Graybar (Clayton, MO)
- …information. + Interact with internal and external customers to resolve legal contract law routine issues. + Provide administrative support. **Requirements** ... Make a difference. **Purpose** + Provide support, perform legal and business research, and...general legal support as required. + Conduct research on contract law, draft agreements, and review contracts for accuracy,… more
- NHS Management, LLC (Pleasant Hill, MO)
- …facility, you may perform a variety of duties. While most of our nurses provide direct patient care , specific job responsibilities and daily activities may vary ... + Working with or mentoring CNA's or NA's to provide optimal care to our patients Our...time status): + Blue Cross/Blue Shield Health Insurance (low cost !) + Dental Insurance + 401k/matched + PTO +… more
- Centene Corporation (Jefferson City, MO)
- …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
- Option Care Health (Jefferson City, MO)
- …engaging and rewarding for all team members. Our organization requires extraordinary people to provide extraordinary care , so we are investing in a culture that ... infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality...resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than… more
- The Cigna Group (St. Louis, MO)
- …health care data analysis preferred. Experience with trend analysis and health care provider contract analysis preferred + Familiarity with various data ... management, medical management, and pricing business units to deliver contract analysis results in line with trend/ cost ... Provide analytical and strategic support of health care provider rate negotiations + Effectively influence… more
- Blue KC (Kansas City, MO)
- …workflow by assessing the priority of projects as they relate to the overall provider contract and reimbursement strategy and corporate goals + Handles complex ... our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a...priority of projects as they relate to the overall provider contract and reimbursement strategy and corporate… more
- Centene Corporation (Jefferson City, MO)
- …service plans and care management activities of member needs to provide quality, cost -effective healthcare outcomes. Reviews and provides expert knowledge to ... ensure quality control over work, members are receiving needed care or services, and adherence to contract ...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned +… more
- Humana (Jefferson City, MO)
- … efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP ... and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this… more
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