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This role will partner with the Contracting team, CIN team and the Clinical teams on evaluating VBC shared savings/risk contracts, incentive programs and distribution, incentive funds flow, calculating and modeling projected financial risk performance (such as risk corridor scenarios, stoploss/reinsurance, feasibility, and scenario analyses.
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Possessing working experience in Payer or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.
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Demonstrate experience in managing complex contracting matters, including vendor, provider network, producer/customer and strategic sourcing contracts. Provide legal support to the Company on regular and routine business matters related to contracting, including legal counsel, legal research and preparation of legal memoranda.
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You'll really wow us if you have: Experience in healthcare consulting directly related to decision support, revenue cycle, managed care, payor contracting, or provider contracting Experience implementing and configuring software Experience using SQL or relational database concepts.
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The Provider Engagement Account Manager Sr. reports to the SVP of Provider Relations and Contracting and works very closely with the local IL Market President and leadership team.
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This position is responsible for: providing legal advice and support on moderately complex legal projects and assignments relating to contracting, intercompany arrangements, and other strategic corporate transactions for a market leading health insurance company.
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Supporting Value-Based Care contracting and analytics for payers, providers, and health services organizations; As a PwC Healthcare Consulting Actuary, you will be part of our exciting, growing team that provides strategic, analytic, and technical support to our payer and provider clients.
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PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. Works with other disciplines (credit/collections, contracting, and marketing) to assure that corporate billing and receivables standards are achieved.
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WellBe Senior Medical is an innovative, risk-bearing provider organization focused on delivering the highest quality geriatric care (care of older adults) to frail, elderly Medicare Advantage patients with multiple chronic medical conditions.
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Experience in provider contracting for government programs and/or commercial lines of business. Develops and maintains provider relationships within designated state/territory that TriWest is responsible for direct contracting.
$79,000 - $87,000 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Supporting Commercial, MA, Medicaid, Medicare and Medicaid Dual Eligible provider contracting of ancillary and ancillary facility providers across all lines of business including preparation of Single Case Agreements.
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Job DescriptionA bit more about this role:This role will be an opportunity for someone to enter the exciting and challenging realm of provider network servicing/contracting at an entry level.
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3-5 Years Provider Contracting Experience. Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities.
$63,300 - $139,200 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Our client, a large, private, long-standing and highly successful healthcare service provider, seeks a junior transactional attorney in its headquarters in Elmhurst. This attorney will work directly for the company’s general counsel and assist with contracting and general commercial transactions.
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IES is a national provider of industrial products and infrastructure services to a variety of end markets, including electrical, mechanical and communications contracting solutions for the commercial, industrial, residential and renewable energy markets.
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contracting provider jobs in Chicago, IL
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