- Elevance Health (Mason, OH)
- ** 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
- Elevance Health (Columbus, OH)
- ** Provider Contract / Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration ... NOTE: This position is not eligible for current or future VISA sponsorship._ The ** Provider Contract / Cost of Care Consultant** provides analytical… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- The Cigna Group (Cleveland, OH)
- …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
- The Cigna Group (Cleveland, OH)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- CVS Health (OH)
- …provider meetings. + May collaborate cross-functionally on the implementation of large provider systems, to manage cost drivers, data reports and execute ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (OH)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Columbus, OH)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- CVS Health (Columbus, OH)
- …to, claims payment, contract interpretation, and parameters or accuracy of provider contract or demographic information + Coaches more junior colleagues in ... while meeting and exceeding accessibility, compliance, quality, and financial goals and cost incentives + Manages contract performance in support of network… more
- Elevance Health (Columbus, OH)
- …deep expertise in healthcare cost drivers, contract evaluation, and total cost of care models. The Director operates as a trusted advisor to senior ... Will Make an Impact** * Apply expertise in healthcare cost drivers and trend measurement to guide contract...value-based arrangements is preferred. * Strong background in total cost of care models is strongly preferred.… more
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