- 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
- The Cigna Group (St. Louis, MO)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Humana (Jefferson City, MO)
- …the health of the communities we serve. The Regional Vice President will also provide executive leadership to Provider Contracting, Provider Education and ... Develop and lead efforts re: continuous improvement for unit cost strategy. + Ensure access to care ...with internal partners to ensure best in class credentialing, contract load and directory accuracy + Incorporate provider… 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
- CVS Health (Jefferson City, MO)
- …data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care . + Manages the ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Jefferson City, MO)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- BJC HealthCare (St. Louis, MO)
- …health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity ... area. **Overview** **BJC HealthCare** is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in… more
- Humana (Jefferson City, MO)
- …. The case manager will offer guidance, support, and coordination of the beneficiary's care as directed by the beneficiary, the provider (s) or other members of ... needs of TRICARE beneficiaries, to maximize each beneficiary's capacity for self- care , to cost -effectively achieve desired clinical outcomes and to enhance… more
- HCA Healthcare (Springfield, MO)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- CVS Health (Jefferson City, MO)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
Recent Jobs
-
Mddu CBRN Training and Equipment Coordinator
- Parsons Corporation (Centreville, VA)
-
Senior Transportation Project Manager + Bridges
- TYLin (Houston, TX)
-
Medical Receptionist-Front Desk Coordinator Azura
- Fresenius Medical Center (Philadelphia, PA)