- Elevance Health (Las Vegas, NV)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Las Vegas, NV)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for Humana's ... provider agreements with Humana's strategic goals, the Senior Provider Contracting Professional helps ensure network adequacy, competitive reimbursement… more
- Centene Corporation (Carson City, NV)
- …field or equivalent experience. 6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of ... Federal health care programs. Preferred Experience: Value Based Care contracting experience is ideal. **License/Certification:** Current state driver's… more
- Centene Corporation (Carson City, NV)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Centene Corporation (Carson City, NV)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Molina Healthcare (NV)
- …of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . **Knowledge/Skills/Abilities** * ... BHT treatment plans to evaluate effectiveness and treatment efficacy. * Collaborates with provider contracting and providers services to support recruitment and … more
- Highmark Health (Carson City, NV)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- CVS Health (Carson City, NV)
- …behavioral health providers and facility types - Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …responsibility of the incumbent is to effectively utilize available resources to provide the best patient-centered care either directly or indirectly, utilizing ... innovative approaches to cost -effective healthcare management. Resources can include but are not...where opportunity for process improvement exists to recommend and provide new processes to improve patient care … more