- CareFirst (Baltimore, MD)
- …contract and reimbursement terms and work with executive leadership of practices and health systems through the implementation phase of these new value-based and ... health care insurance industry with specific experience in contracting , negotiation and reimbursement development. **Preferred Qualifications** : Analytical… more
- Highmark Health (Buffalo, NY)
- …+ Lead negotiation of assigned mid-sized and large hospitals and health systems reimbursement and contractual terms. Represent Highmark external ... negotiations. The incumbent is responsible for completion of annual provider contracting activities and ongoing contract management activities. Works regularly with… more
- Molina Healthcare (Green Bay, WI)
- …broad array of provider types, including FQHCs, BH providers, LTSS agencies, and hospital systems . + Integrate social determinants of health (SDOH) and health ... tailored for Medicaid, Medicare, and Marketplace populations. + Develop contracting frameworks that are inclusive and attractive to a...health needs. + Act as a subject matter expert and thought leader, representing the organization in external… more
- The Cigna Group (Bloomfield, CT)
- …monitors dental and vision network performance guarantees. Coordinates with Provider Contracting , Provider Relations and Provider Service areas to drive execution on ... direction to more junior professionals. + Works autonomously, only requiring " expert " level technical support from others. Exercises judgment in the evaluation,… more
- AmeriHealth Caritas (Newtown Square, PA)
- Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay ... healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity...Analyst** performs the role of payment terms data source expert to support AmeriHealth Caritas nationwide across all products.… more
- General Dynamics Information Technology (Falls Church, VA)
- …advance the mission and optimize our business strategy as a **Pricing Strategist Expert ** at GDIT. At GDIT, people are our differentiator. As a **Pricing Strategist ... Expert ** you will help ensure today is safe and...developing pricing strategies for IT Services, Cloud, Managed Services, Systems Integration, Engineering, and/or AI solutions in a competitive… more
- Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
- …systems . - Evaluates compatibility and adaptability of medical equipment and clinical systems to integrate with the electronic health record or other clinical ... the appropriate database. - Serves as a subject matter expert on assigned committees, projects, and workgroups. - Manages...device security incidents. BESSs at this level determine when health care technology, instrumentation, or systems are… more
- Generac Power Systems (Waukesha, WI)
- **We are Energy Systems , the leader in industrial power solution sales, service, and rentals.** With an ongoing tradition of providing excellent products and ... outstanding service for our customers, Energy Systems is one of the longest existing Generac Industrial...in the business development and sales process by providing expert guidance and knowledge. * Participate in the preparation… more
- Henry Ford Health System (Jackson, MI)
- …digestible information to all audiences referenced above. Functions as a subject matter expert in many areas of value-based care/ contracting and able to assist ... consultant to all in the value-based arena (physician leaders, contracting , finance, operations, Mosaic ACO) in addition to aligned...of a generally complex nature aimed at improving operating systems and functions within Henry Ford Health ,… more
- City of New York (New York, NY)
- …the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration, and Services. The division's ... the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare ...INCLUDE BUT NOT BE LIMITED TO: Finance: - Provide expert research briefs and opinions on: Healthcare Accountability and… more