- Elevance Health (Winston Salem, NC)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- UNC Health Care (Raleigh, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... guidelines and other regulatory and accreditation standards. **Join our growing UNC Urgent Care provider team! This is an employed position with UNC Rex… more
- UNC Health Care (Butner, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost -effective care to patients within the ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- The Cigna Group (Charlotte, NC)
- …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
- CVS Health (Raleigh, NC)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 5+ years ... strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. +… more
- CVS Health (Raleigh, NC)
- …Aetna's National Provider business. This role maintains and updates provider demographic and contract information, including contractually sensitive or ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Trane Technologies (Davidson, NC)
- …to ensure the Contract Management team is positioned to streamline and cost effectively process its work. + Manage projects and records. + Access and support ... holistic wellness programs that include generous incentives - **WE DARE TO CARE ** ! + **Family building benefits** include fertility coverage and adoption/surrogacy… more
- Compass Group, North America (Charlotte, NC)
- …Compass Group-- which is the world's largest contract food and support services provider . **Why Foodbuy?** We care about our associates, our clients, and our ... We pride ourselves on our ability to source and provide a variety of products and services that help...and services that help our customers more easily, and cost effectively, run their businesses. We work with clients… more
- UNC Health Care (Goldsboro, NC)
- …matters relating to physician performance . h. Leads Medical Staff improvements in care transitions, care standards, cost reduction initiatives, resource ... among the various clinical components of Wayne UNC Health Care with a goal of providing high quality, efficient...for the provision of services; coordinates across departments to provide a maximum level of services to patients, family,… more
- Elevance Health (NC)
- …goals as identified during assessment. + Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed. + Coordinates with ... \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Prevention and Preservation** **$2,500 SIGN...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires MS/MA in social… more