- Medical Mutual of Ohio (OH)
- …hybrid in Cleveland, Ohio. (Will need to be onsite 1 day/week)** **Responsibilities** ** Value - Based Contracting Data Analyst** **JOB SUMMARY:** Working ... up capitation contracts within the pricing and payment tool (EZ Cap). **Senior Value - Based Contracting Data Analyst** **JOB SUMMARY:** Working under… more
- UPMC (Pittsburgh, PA)
- …Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value - Based Contracting Team!** This position applies knowledge of mathematics, ... in order to identify issues and gather and analyze data on a wide variety of topics affecting the...experience in SQL and Excel + Experience following fields: value - based contracting , pricing, reserving, trend/health… more
- MetroHealth (Brooklyn Heights, OH)
- ** Value Based Contracting Attribution Specialist-Managed Care** **Location:** **BROOKLYN HEIGHTS** **Biweekly Hours:** **80.00** **Shift:** **8am-5pm** **The ... Medicare patient panel, including beneficiary outreach and interaction, monitoring utilization data for appropriate patient engagement, and arranging access to and… more
- Rush University Medical Center (Chicago, IL)
- … care (VBC) risk contracts with third party payers as assigned by the Director, Value Based Payer Contracting . * Negotiate, analyze and model current, ... as well as internal equity and industry specific market data . The pay range for each role reflects Rush's...Health pricing standards. * Under the direction of Director, Value Based Payer Contracting , assist… more
- Gilead Sciences, Inc. (Foster City, CA)
- …includes the development, ongoing assessment, and execution of innovative and analytics- based contracting strategies in allprovider (egB&B clinic, HOPD, 340B) ... for clinic and hospital providersacross the 340B segment. + Assess and develop value - based contractual agreements (ie, VBAs) with payers, providers, and other… more
- The Cigna Group (Austin, TX)
- …Manages complex contracting and negotiations for fee for service and value - based reimbursements with hospitals and other providers (eg, Hospital systems, ... groups). + Builds relationships that nurture provider partnerships and seeks broader value - based business opportunities to support the local market strategy. +… more
- Henry Ford Health System (Troy, MI)
- …database experience preferred. * Must possess a strong understanding of reimbursement and value - based reimbursement models including risk share models based ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting , this position is responsible for managing the payor contracting functions for the… more
- Chenega Corporation (Washington, DC)
- …of business process redesign and information technology (IT) modernization to include data analytics and cloud computing. We offer an alternate solution to improving ... economy, Cyberstar helps companies better read and understand their market data through the synchronization of process innovation, human dynamics, analysis, and… more
- Chenega Corporation (Washington, DC)
- …in monitoring contract performance, analyzing issues, and providing expert recommendations based on strategic and budgetary considerations. + ** Contracting ... of business process redesign and information technology (IT) modernization to include data analytics and cloud computing. We offer an alternate solution to improving… more
- CareFirst (Baltimore, MD)
- …Collaborates with the payment transformation department to develop and establish value based arrangements, alternative rate arrangements and ACO arrangements. ... of BCBSA workgroups. + Performs the provider credentialing as assigned, and data maintenance processes based on department policy, procedure, and standards… more