- Elevance Health (Wilmington, DE)
- ** 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
- The Cigna Group (Philadelphia, PA)
- …health care data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Familiarity with various data ... **Business Analytics Associate - ( Provider Contract Analytics)** **Summary:** We are...management, medical management, and pricing business units to deliver contract analysis results in line with trend/ cost … more
- The Cigna Group (Philadelphia, PA)
- …Leadership. + Design innovative contract solutions such as measurement-based care , case rates or preferred provider networks, performance guarantees, as ... contract performance teams to rate renewal targets, unit cost and overall claim trend targets are met. +... provider networks, centers of excellences and alternative contract solutions, such as measurement-based care , case… more
- The Cigna Group (Philadelphia, PA)
- …address customer and client demands for lower cost and higher quality of care . This role will report to the Provider Contracting Director - LifeSOURCE and ... targets new providers to bring in network + Incorporates contract and compliance standards into provider agreements...organizations + Strong understanding and experience with hospital, managed care , and provider business models + Knowledge… more
- Sedgwick (Trenton, NJ)
- …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
- The Cigna Group (Philadelphia, PA)
- …working 3 days per week onsite and 2 days per week remote._** The Provider Contracting Advisor (PCA) is responsible for the overall management of the Behavioral ... consists of identified large, high-volume, multi-state or national practices that provide virtual and digital resources. These regional and/or national outpatient… more
- Church & Dwight Co., Inc. (Ewing, NJ)
- …identifying opportunities for process improvements. + Provide master data and standard cost support to all plants and contract manufacturing for plan and ... Win. Hybrid - Princeton South, NJRole Summary Support the entire CHD Cost Accounting System SAP ECC-driven business processes (Standard costs, Month-end closing,… more
- Sharecare, Inc. (Trenton, NJ)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... events, root cause analysis). + Life safety (environment of care ); Provide for a detailed assessment and...human resource and education files for center employees and contract personnel. E. Maintain Center Survey readiness + Assess… more
- Pfizer (Collegeville, PA)
- …of oral and IV products with very complex but different distribution and provider cost recovery dynamics. The Director, Oncology Customer & Channel Management ... channel management - the integration of product strategy, GPO/aggregator contract design, contract performance, and execution and... government agencies with information such as a health care provider 's name, address and the type… more
- IMSolutions, LLC (Trenton, NJ)
- …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
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... + A key area for the role is to provider customer service and relationship management for partners of...will also work closely with third party vendors to provide guidance in the design, installation, modification, support, and… more
- Prime Therapeutics (Trenton, NJ)
- …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
- IQVIA (Philadelphia, PA)
- …achieve the delivery of the project's overall objectives to the Sponsor's satisfaction per contract while optimizing speed, quality and cost of delivery and in ... for the clinical delivery (subject recruitment, site management, data integrity) per contract , ensuring consistent use of study tools and training materials and… more
- Sedgwick (Trenton, NJ)
- 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
- Black & Veatch (Wilmington, DE)
- …passionate professionals. Our vision is to be the greatest infrastructure solutions provider delivering top tier and high-quality design and engineering services to ... is expanding our Federal A/E areas of focus** using a variety of contract vehicles, including Architecture/Engineering (A/E) IDIQ, MATOC, SATOC and MACC (D/B) for… more
- Prime Therapeutics (Trenton, NJ)
- …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
- Trinity Health (Conshohocken, PA)
- …6. Develops and implements plans to measure and report on system-wide health care delivery cost and utilization trends; collaborates with system experts in ... and responsibility requires in depth knowledge of financial and clinical analyses and cost and utilization trends related to payers, employers, and health plan data… more
- Prime Therapeutics (Trenton, NJ)
- …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
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... Specialist Job Profile Title Financial Analyst Job Description Summary Job Description Provide Financial Administrative support for the Clinical Research Unit of the… more