| Provider Contract at Remote, Remote, USA |
| Email: [email protected] |
| From: rajkumar, NITYA Software Solutions Inc. [email protected] Reply to: [email protected] Hi, I hope you are doing well. I am Raj from NITYA Software Solutions Inc. I've included below the job description, please let me know if you are interested, and reply with one updated resume, which I've expected. Role: Provider Contract Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works on large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process. Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals. Supports a full range of contract arrangements and pricing mechanisms. Works on complex enterprise-wide initiatives and acts as project lead. Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process. Types of analyses include performing sophisticated retrospective data analytics. Building new and modifying existing complex models to create predictive impact decision making tools. Performing 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 analysis 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. Researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates and projects different cost of savings targets based upon various analytics. Thank you, Rajkumar EMAIL ID:[email protected] NITYA Software Solutions Inc. Keywords: access management Idaho Provider Contract [email protected] |
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| Thu Nov 07 20:15:00 UTC 2024 |