Provider Contract
3 weeks ago
Provider Contract / Cost of Care Analyst Senior Location: Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Provider Contract / Cost of Care Analyst Senior will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care. How you will make an impact: Performs varied data analyses which may include: Developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; Projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; Preparing pre-negotiation analyses to support development of defensible pricing strategies; Performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation proposals; Researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; Projecting different cost of savings targets based upon various analytics; Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable Recommends standardized practices to optimize cost of care Educates provider contractors on contracting analytics from a financial impact perspective May recommend alternative contract language and may go on-site to provider premises during contract negotiations Participates on project team involved with enterprise wide initiatives Minimum Requirements: Requires BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Master's degree preferred Proficiency with SAS and SQL
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Provider Contract
1 week ago
Indianapolis, Indiana, United States Elevance Health Full timeProvider Contract / Cost of Care Analyst Senior Location: Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Provider Contract / Cost of Care Analyst Senior will be responsible for providing analytical support to the...
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Provider Contract
1 day ago
Indianapolis, Indiana, United States Elevance Health Full timeProvider Contract / Cost of Care Analyst Senior Location: Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Provider Contract / Cost of Care Analyst Senior will be responsible for providing analytical support to the...
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Manager Provider Contract Development
3 days ago
Indianapolis, United States Highmark Health Full timeDescription : JOB SUMMARY This job manages the business process of contract management with internal departments.The incumbent oversees the staff and facilitates the development/editing and interpretation of provider contract language. Accountable for all contracts including multi-market facility and ancillary agreements as well as value based...
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Indianapolis, Indiana, United States Contract Lumber Full timeBox Truck Delivery DriverPay: $18-$20/hr. (based on experience.)Monday through Friday--First Shift.Location: Brownsburg, INContract Lumber strives to build strategic alliances with our builder customers in an effort to maximize their efficiency and profitability. We conduct our business in an ethical manner always concentrating on providing exceptional...
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Indianapolis, Indiana, United States Contract Lumber Full timeBox Truck Delivery DriverPay: $18-$20/hr. (based on experience.)Monday through Friday--First Shift.Location: Brownsburg, INContract Lumber strives to build strategic alliances with our builder customers in an effort to maximize their efficiency and profitability. We conduct our business in an ethical manner always concentrating on providing exceptional...
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Contract Consultant
1 week ago
Indianapolis, United States Cynet Systems Full timeJob Description: Responsible for negotiating, structuring, and/or administrating contractual documents that establish business relationships with vendors, customers and partners. Works with sales and service teams as well as the legal department to structure contracts. nalyses contracts to ensure compliance to company policy, government specifications...
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Indianapolis, United States Elevance Health Full timeJob Description : Provider Contract/Cost of Care Consultant Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Ideally located in: Mason, OH; Indianapolis, IN; Louisville, KY; Columbus, OH; Norfolk, VA; Richmond, VA; St. Louis, MO;...
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Provider Relations Analyst
1 month ago
Indianapolis, United States Community Health Network Full timeJoin Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...
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Provider Relations Analyst
1 day ago
Indianapolis, United States Community Health Network Full timeJoin Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...
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Contract and Procurement Specialist
1 month ago
Indianapolis, United States State of Indiana Full time**Work for Indiana**: Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a...
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Provider Collaboration Mgr Sr
1 week ago
Indianapolis, United States Elevance Health Full timeAnticipated End Date: 2024-05-30 Position Title: Provider Collaboration Mgr Sr Job Description: Location: Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week. Candidates must reside within 50...
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Sr Financial Analyst
2 weeks ago
Indianapolis, United States Community Health Network Full timeJoin Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...
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Sr Financial Analyst
1 month ago
Indianapolis, United States Community Health Network Full timeJoin Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...
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Sr Financial Analyst
4 hours ago
Indianapolis, United States Community Health Network Full timeJoin Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...
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Behavioral Health Provider
2 weeks ago
Indianapolis, United States Refresh Mental Health Full timeBehavioral Health Provider We don't just have a mission statementwe have a mission. At Life Solutions Counseling, our commitment to optimal mental health and steadfast support isn't just for our clients; it extends to every team member. Life Solutions Counseling is a strength-based group counseling practice whose mission is to help people reach their full...
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Contracts Compliance Analyst II
3 weeks ago
Indianapolis, United States Medxcel Full timeMedxcel is here to lead the transformation of healthcare facilities management by incorporating a new approach to providing services. Created by healthcare, for healthcare, we have a dedicated focus on our people and customers, as well as providing tools, processes, support resources, data analytics and insource strategies that drive results. The Contract...
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Contracts Compliance Analyst II
2 weeks ago
Indianapolis, United States Medxcel Full timeMedxcel is here to lead the transformation of healthcare facilities management by incorporating a new approach to providing services. Created by healthcare, for healthcare, we have a dedicated focus on our people and customers, as well as providing tools, processes, support resources, data analytics and insource strategies that drive results. The Contract...
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Contracts Compliance Analyst II
6 days ago
Indianapolis, United States Medxcel Full timeMedxcel is here to lead the transformation of healthcare facilities management by incorporating a new approach to providing services. Created by healthcare, for healthcare, we have a dedicated focus on our people and customers, as well as providing tools, processes, support resources, data analytics and insource strategies that drive results. The Contract...
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Contracts Compliance Analyst II
3 weeks ago
Indianapolis, United States Medxcel Full timeMedxcel is here to lead the transformation of healthcare facilities management by incorporating a new approach to providing services. Created by healthcare, for healthcare, we have a dedicated focus on our people and customers, as well as providing tools, processes, support resources, data analytics and insource strategies that drive results. The Contract...
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Contracts Compliance Analyst II
3 weeks ago
Indianapolis, United States Medxcel Full timeMedxcel is here to lead the transformation of healthcare facilities management by incorporating a new approach to providing services. Created by healthcare, for healthcare, we have a dedicated focus on our people and customers, as well as providing tools, processes, support resources, data analytics and insource strategies that drive results. The Contract...