- Elevance Health (Atlanta, GA)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal ... 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 (Atlanta, GA)
- …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
- CVS Health (Atlanta, GA)
- …to build collaborative relationships with providers work cross-functionally to resolve complex provider contract issues. + Ability to work remotely, preferably ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- The Cigna Group (Atlanta, GA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... + Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates "HCP" agreements… more
- Molina Healthcare (Atlanta, GA)
- …care , or other health care field. **Required Experience** 3 - 5 years provider contract negotiation experience in the health care field including, but ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Sedgwick (Atlanta, GA)
- …in lieu of a degree. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education ... Taking care of people is at the heart of...Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Contract Manager II **PRIMARY PURPOSE** : To negotiate and/or… more
- Molina Healthcare (Atlanta, GA)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Utilizes standardized contract ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. *...concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with… more
- UMB Bank (Atlanta, GA)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Elevance Health (Atlanta, GA)
- …The ** Provider Network Management Director** is responsible developing provider networks through contract negotiations, relationship development, and ... ** Provider Network Management Director** _Location: Alternate locations may...preferred. + Advanced knowledge in SPS, Contraxx, PLM2, and Cost of Care (CofC) strongly preferred. +… more
- Molina Healthcare (Atlanta, GA)
- …with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with ... systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with … more