- Eisai, Inc (Raleigh, NC)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... The Director will develop colleagues with expertise in relationship/project management, contract review and negotiation, demand planning, and logistics to manage… more
- 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 ... GA, Richmond, VA, Norfolk, VA or Mason, OH. 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
- CVS Health (Hartford, CT)
- …it all with heart, every single day. We are seeking a **Senior Manager of Provider Contract & Pricing Testing** to join our expanding Testing Center of ... experience managing quality assurance projects. + 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance, or related… more
- CVS Health (Olympia, WA)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + 3+ years ... Expert support for questions related to recruitment initiatives, contracting, provider issues/resolutions, related systems and information contained Provide … more
- Centene Corporation (Providence, RI)
- …risk, shared savings, and global capitation. + Analyze provider performance against contract benchmarks (eg, total cost of care , Stars measures) and ... Dual Eligible Special Needs Plans (D-SNPs). This role is critical in analyzing provider performance, modeling contract terms, and generating insights to guide… 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
- MyFlorida (Miami Beach, FL)
- …subject matter experts to + Negotiate contract terms and conditions, + Conduct cost analyses of provider budgets, and + Ensure ongoing provider delivery ... working to stay safely together or be reunited, foster care , youth and young adults transitioning from foster ... contract renewal, amendment, and closeout duties, including contract evaluation and review and documentation of provider… more
- Molina Healthcare (Columbus, OH)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… 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 ... during psychiatric hospitalization, including transfer to a higher level of medical care when needed.** **Summary:** An Advanced Practice Provider (APP)… more
- Molina Healthcare (Seattle, WA)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
