- Elevance Health (Norfolk, VA)
- ** 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 (Richmond, VA)
- …to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. + Negotiates settlements as needed. ... contract negotiator: + Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards. + Negotiates… more
- Parsons Corporation (Fairfax, VA)
- …Procurement personnel on project subcontract matters. + Monitors project expenditures versus contract cost limitations. + Prepares letters to clients notifying ... them of contract cost limitations and requirements for additional...or any other protected status. We truly invest and care about our employee's wellbeing and provide … more
- The Cigna Group (Richmond, VA)
- …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
- Elevance Health (Richmond, VA)
- …to the market. + Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of ... strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- CVS Health (Richmond, VA)
- …data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care . + Conducts market ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Richmond, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** Supports network teams in provider negotiations and financial risk for Commercial, Medicare, Medicaid, and IFP… more
- Valor Health (Danville, VA)
- …mid-level provider . You will collaborate with the core PACT Team (Primary Care Provider , RN and Medical Assistant) and expanded PACT Team including ... casino to enjoy the nightlife! Danville offers a low cost of living making it a great place to...sick, paid holidays and personal time As a Primary Care Physician, you will provide prescribed medical… more
- Elevance Health (Norfolk, VA)
- …applicable state law and contract . **How you will make an impact:** + Provide integrated whole-person Care Management under the CFSP Care Management ... **Managed Care Coordinator** **Sign-on Bonus: $1000** **We are currently...of members with chronic illnesses, co-morbidities, or disabilities for cost -effective and efficient service utilization. + Set short- and… more
- Elevance Health (Bristol, VA)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... **Managed Care Coordinator** **Location:** Must reside in **Southwestern Virginia**...members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. + Establishes… more
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