- Elevance Health (Louisville, KY)
- ** 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
- UNC Health Care (Apex, NC)
- …healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within ... problem-solving, decision-making, and evaluating clinical/system issues and models of care . Leads interdisciplinary teams to provide integrated delivery… more
- Corewell Health (Grand Rapids, MI)
- …of contracts and passion for problem solving? Corewell Health is seeking a Senior Provider Contract Specialist to take ownership of provider contracts at ... through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position… more
- Avera (Minneapolis, MN)
- …Forward for you and our patients. Work where you matter.** **A Brief Overview** The Provider Contract Manager is a critical member of Avera Health Plans (AHP) ... implementation of broad based, tiered, and narrow network products and value-based contract arrangements. Also lead medical cost reduction programs to identify… more
- Corewell Health (Grand Rapids, MI)
- …understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of provider contracts ... guidance in others. Essential Functions + Contributes to the contract development and negotiation process for provider ...contracts and contract information in the system contract database. + Provide effective oversight of… more
- The Cigna Group (Erie, PA)
- …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
- Henry Ford Health System (Troy, MI)
- …guiding principles, amendments, etc. + Acts as subject matter expert for provider contracting operations and technical areas using Contract Management Software, ... proposals and financial and utilization data to determine medical cost impact to HAP/PHP/AHLIC. + Provide financial...least two (2) years of experience with Plan or Provider finance or reimbursement, contract administration and… more
- The Cigna Group (Richmond, VA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… 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
- 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
Recent Searches
- Sports Official Scorekeeper (United States)
- Patient Care Tech Renal1 (Ohio)
- director finance strategic ledger (United States)
- Senior SAP OTC Functional (West Virginia)
Recent Jobs
-
Commercial Foreman - Multifamily
- Tribble Electric (Glen Allen, VA)
-
Global Risk & Insurance Specialist (Hybrid Schedule)
- ARAMARK (Philadelphia, PA)
-
Community Engagement Coordinator I
- Arkansas Children's (Little Rock, AR)
-
Advanced Practice Provider (O-3/O-4/O-5 Position Grade) Non-supervisory
- Immigration and Customs Enforcement (Florence, AZ)