- Humana (Harrisburg, PA)
- …Humana-recognized as a Fortune Top Company and one of the Best Places to Work-as a Value Based Programs Business Intelligence Lead. In this impactful ... apply and be part of our dynamic team. The Value Based Programs Business...providers and evaluate program effectiveness for new value - based programs + Design and… more
- S&P Global (PA)
- …use, with an eye towards mitigating losses. + Promote a culture of value - based business practices and compliance by educating stakeholders across ... professional + Driven, self-directed person with an understanding of commercial contracts and value - based pricing concepts + Team player with the ability to… more
- The Cigna Group (Erie, PA)
- …physician groups). + Builds relationships that nurture provider partnerships and seeks broader value - based business opportunities to support the local market ... + Manages complex contracting and negotiations for fee for service and value - based reimbursements with hospitals and other providers (eg, Hospital systems,… more
- Humana (Harrisburg, PA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Value - Based Programs professional who will support successful value - ... be responsible for leading the beginning-to-end operational support of specialty Medicaid value - based payment (VBP) models in alignment with segment strategy and… more
- PNC (Pittsburgh, PA)
- …expected outcomes, and technical requirements. * Analyzing requirements and prioritizing features based on business value and impact. * Communicating ... care; adoption, surrogacy, and doula reimbursement; educational assistance, including select programs fully paid; a robust wellness program with financial… more
- The Cigna Group (Philadelphia, PA)
- …of PBM + Lead team of attorneys responsible for supporting rebate, formulary development, and value based solutions business units of PBM + Act as lead ... leading a team of attorneys responsible for the pharmacy network and pharma strategy business units of the Company's pharmacy benefit manager (PBM) business and… more
- Highmark Health (Pittsburgh, PA)
- …and key matrix partners to execute on the strategy design and development of value - based programs across all provider types and markets. This would ... with our strategy and serve as an enterprise resource for value - based reimbursement information including strategic efforts, new program designs, and partner… more
- Guthrie (Sayre, PA)
- Position Summary: The Program Manager, Value Analysis will lead the establishment and ongoing facilitation of system wide Clinical Quality Value Analysis ... and significant savings while aligning with system objectives and strategic goals. The Program Manager, Value Analysis will maintain expert clinical knowledge to… more
- CVS Health (Harrisburg, PA)
- …relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, what is the value . + ... we do it all with heart, each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads… more
- PNC (PA)
- …sessions to ensure a shared understanding of upcoming work. - Prioritize backlog items based on their business value , alignment with project goals, and ... experience, and education. This role is incentive eligible with the payment based upon company, business and/or individual performance. **Application Window**… more
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