- Elevance Health (Richmond, VA)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Mason, OH, or Tampa, FL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- Elevance Health (Richmond, VA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. 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. * Ideally the candidate should live ... performance and support the development and implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- Sedgwick (Richmond, VA)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Humana (Richmond, VA)
- …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, Teaming ... and applicable file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR)… more
- InGenesis (Caroline County, VA)
- InGenesis is currently sourcing Advanced Practice Provider - Psychiatric candidates to work with our client. In this role, you will provide healthcare under the ... Welfare - additional per hour rate to help offset cost of insurance. * 2 weeks of PTO *...of complex psychiatric conditions. * Coordinates mental health patient care , off-site referrals, and collaborative duties through scheduled appointments,… more
- InGenesis (Caroline County, VA)
- …emergency within 4 minutes, where a fast walk or jog may be necessary to provide assistance. * Required to perform CPR/emergency care standing or kneeling. * ... InGenesis is currently sourcing Advanced Practice Provider candidates to work with our client. In...work with our client. In this role, you will provide healthcare under the scope of a collaborative practice… more
- Elevance Health (Richmond, VA)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... The **Foster Care Managed Case Manager** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Working… more
- IMSolutions, LLC (Richmond, VA)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Prime Therapeutics (Richmond, VA)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Federal Reserve System (Richmond, VA)
- …identify and report disparities, and research relevant information. + Perform price/ cost analysis and contract administration tasks. + Collaborate across ... our communities. Bring your passion and expertise, and we'll provide the opportunities that will challenge you and propel...includes tuition assistance, generous paid time off, top-notch health care benefits, child and family care leave,… more
- Prime Therapeutics (Richmond, VA)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- CVS Health (Richmond, VA)
- …systems). Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- HCA Healthcare (Richmond, VA)
- …the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. ... recommended activities to develop successful business relationships and quality contract performance requirements. + Will provide coverage...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Sedgwick (Richmond, VA)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
- Prime Therapeutics (Richmond, VA)
- …outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication ... and analysis. Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancements)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Elevance Health (Richmond, VA)
- …service coordinator and other clinical healthcare management and interdisciplinary teams to provide care coordination support. + Manages non-clinical needs of ... law and contract requirements. + Experience working with older adults in care management, provider or other capacity, highly preferred. + Experience managing… more
- Prime Therapeutics (Richmond, VA)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client`s program(s). Requires communication across ... responsible to serve as the clinical liaison for assigned contract (s). Manages overall client relationship. Participates in the development...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Burns & McDonnell (Richmond, VA)
- …required. + Manage internal project financials, providing detailed, accurate project cost forecasts and accruals to client(s) and internal organization leadership. + ... teams, coordinate activities of multiple disciplines, and ensure the efficient, cost -effective utilization of staff. + Manage all aspects of project communication.… more
- Sedgwick (Richmond, VA)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more