- Elevance Health (St. Louis, MO)
- ** Provider Contract Cost of Care Consultant** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... The **Value Based Provider Health Econ - Provider Cost of Care Consultant...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Graybar (Clayton, MO)
- …player who enjoys taking on additional tasks and projects. **Responsibilities** + Provide corporate legal support to resolve complex contract and transactional ... Make a difference. **Purpose** + Provide support, perform legal and business research, and...Two-year degree and paralegal certificate + 5 years' experience: contract law support Preferred + Four-year degree: Business, English,… more
- Option Care Health (Jefferson City, MO)
- …us stronger, innovative, and more impactful. 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
- 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
- SSM Health (St. Louis, MO)
- …of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ ... providers are committed to providing exceptional health care services and revealing God's healing presence to everyone...budgeting process. + Serves as the Epic contact for contract and pricing schedules updates, revenue, adjustments, and bad… 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
- HCA Healthcare (St. Louis, MO)
- …variation while optimizing the appropriate use of product to ensure efficient, cost -effective and high-quality patient care . + Develop and implement facility ... for clinical evidence and benefit; discuss financial considerations to include contract compliance, cost and reimbursement; identify opportunities to standardize… more
- Elevance Health (St. Louis, MO)
- **JR169041 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... needs to ensure access to medically necessary quality behavioral healthcare in a cost -effective setting in accordance with UM Clinical Guidelines and contract . +… 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 ... group! **Overview** **BJC HealthCare** is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in… more