Provider Contracting Professional Jobs

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Performs complex medical economic projects (e.g. contract rate modeling) Accountabilities include identification and completion of key deliverables to ensure all business objectives are met. Responsible for the development and implementation of key medical economics business efforts e.g.medical cost initiatives, policies/programs, budget and analytical models. Partners and consults with Network Management to provide medical cost analysis to assess effectiveness of contracted rates, creating and implementing plans to effectively manage medical costs based on analysis or trends. Develops market specific provider reimbursement schedules Oversees the production of both standard and ad-hoc reports used for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting. Coordinates rate approvals and develops pricing for most complex contractual arrangements. Develops and communicates tactical and strategic plans to satisfy information needs across products, segments and markets to a broad audience Required Qualifications 3+ years demonstrated leadership and/or project management experience 3+ years of healthcare and/or analysis experience. Preferred Qualifications • Knowledge of managed care and how provider reimbursement policies relate to the control of me

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy, and coordinating stock rotations. Additional tasks and responsibilities incl

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Are you a skilled Pharmacy Technician looking to advance your career? Looking to change into a closed-door pharmacy setting and gain new skillsets? Join our Omnicare closed-door pharmacy team as an Advanced Pharmacy Technician- and find a career that rewards you. Day In The Life: As an Advanced Pharmacy Technician, you will work to ensure all medication needs and regulatory compliance are met for our patients while working in various pharmacy workstations. Our back-end team focuses on order fulfillment including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy, and coordinating stock rotations. Additional tasks and responsibilities include: Partnering with function

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. ****Part Time Float (20-29 hours per week) for the Gainesville/Bristow/Manassas/Warrenton MinuteClinics**** A Brief Overview As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities. Our providers are empowered to practice holistically with strong clinical support, collaborative resources, and a unified “one store, one team” approach. This is a clinic-based role focused on delivering the highest-level quality in-person patient care. Virtual care visits may be conducted from the clinic during periods of lower onsite patient volume and when doing so does not delay or interfere with in‑person care. MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. What Our Providers Enjoy Autonomy to manage your practice with dedicated collaborative and organizational support Flexible scheduling and strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. Job Summary: Micron is seeking a highly motivated Equipment Maintenance Technician to monitor, sustain, and improve equipment in their assigned area. This position requires collaboration with Shift Operations team members, area equipment engineers, and tool vendors to ensure efficient tool performance and maintenance in a dynamic, brand-new technology and manufacturing environment. Equipment Maintenance Technicians support fabrication processing at the forefront of innovation for the world’s leading memory and storage solution provider, Micron Technology. You will exhibit a high level of dependability and passion, embodying our core values of People, Innovation, Tenacity, Collaboration, and Customer Focus. Responsibilities: Ability to collaborate with team members and communicate and address preventative maintenance needs for manufacturing equipment performance, while proactively identifying and resolving safety concerns. Identify performance gaps and implement strategic improvements, while documenting hardware and process deviations to help prevent recurring problems in tool functionality. Assist in maintaining the cleanliness and orderliness of the cleanroom area by adhering to housekeeping protocols, ensuring that every item is properly stored and organized. Participate in teams focused on enhancing equipment availability and implementing improvement initiatives. Attend Micron and/or vendor training to improve understanding of various semiconductor tools. </l

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1&#43; year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

Become a part of our caring community The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Your work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting will report to the Actuary, Analytics/Forecasting. You will play a key role in the Medicare actuarial forecasting process. This position entails the maintenance of the provider revenue and expense projection model and associated tools supporting the projection model. The Actuarial Analyst 2, will be responsible for integrating value-based provider impacts into financial and bid forecasts, managing tools associated with these impacts, and providing guidance on effective risk modeling practices. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. You will collaborate with stakeholders to understand business needs/issues, troubleshoots problems, conduct root cause analysis, and develop cost effective resolutions for data anomalies. You will understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. You will make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receives guidance where needed. You will follow established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree Successful completion of at least 3 actuarial exams<

Become a part of our caring community As a Medical Assistant, you will be a part of the Clinical Care Team engaging with our patients to develop lifelong well-being and health. The Medical Assistant role makes a difference in the patient care we offer and assists physicians and other clinicians by providing a unique blend of skills to perform prescribed medical treatment. Medical Assistants are multiskilled health professionals responsible for performing administrative and clinical tasks in our primary care facilities while delivering outstanding customer service and maintaining positive patient engagement. Location : CenterWell Senior Primary Care Poinciana office address: 1050 Cypress Parkway; Kissimmee, FL 34759 Medical Assistant Job Tasks: Perform pre-visit planning based on patient visit type Manage the provider's schedule to ensure efficient workflow Obtain and record medical history and vital signs Room patients and assist healthcare providers with medical procedures and treatments Perform specimen collection and point of care testing Prepare and administer medications under the direction of healthcare providers Ensure accurate documentation in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures Maintain established quality control standards Use your skills to make an impact Additional Information Required Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5&#43; years of experience and approval from Provider High school diploma or equivalent CPR Certified Bilingual proficiency in English and Spanish - must pass proficiency exam befo

Our Purpose Mastercard powers economies and empowers people in 200&#43; countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager, Supplier Enablement Role Summary The Sr. Manager, Supplier Enablement – Issuer Management & Analytics will lead issuer campaign management and analytics to drive commercial card volume growth and optimize supplier enablement performance. This role is accountable for managing issuer and third-party provider relationships, overseeing supplier enablement campaigns, and leveraging data and analytics to identify growth, optimization, and volume realization opportunities. The role operates at the intersection of issuer management, supplier enablement, campaign execution, and data-driven strategy. Key Responsibilities Issuer Management • Partner closely with issuers and account management teams to drive B2B volume growth through supplier enablement campaigns. • Manage relationships with third-party supplier enablement providers to ensure issuer campaigns are executed effectively, efficiently, and against agreed objectives. • Develop quarterly issuer performance reports highlighting high-growth, declining, and at-risk suppliers and identifying opportunities for further activation. • Lead biweekly and monthly issuer and provider reviews to assess pipeline opportunities, campaign performance, volume realization, and key trends. • Perform targeted analysis to identify and leverage successfully valid

As a Senior Partner Sales Manager for MSP/MSSP’s, you will own the partner development opportunities with key Sumo Logic Service Providers. You will be a strategic thinker with a focus on driving revenue (“sell with” and “sell through”) and have a “problem-solving” mindset. You will be responsible for the overall success of the Partnership including enablement, GTM initiatives, and sales opportunities. You will collaborate closely with our Senior PSM, Sales, Marketing, and Product Management teams. Responsibilities Focused on enabling partners to drive utilization of the Sumo platform within a Service Provider (SP) together with the assigned Distribution partner. Provide on-going cross functional support to increase revenues and minimize churn. Liaise with Sumo Marketing to drive pipeline generation together with the Distribution partner through the SP, resulting in end-customer acquisition and expansion.. Drive adoption of Sumo programs for SPs within assigned territory / segment Be a conduit for SPs and Sumo’s end-user sales team where necessary to drive end-customer wins together with the SP. Lead the cross-functional relationship with assigned Distribution partner to ensure effective enablement, co-marketing, pipeline generation, and increased ARR Performance Metrics Weekly forecast of KPIs and activities that drive the success of your business Enablement and pipeline generation initiatives ARR growth and retention of assigned SPs Quarterly Business Reviews (QBR) with Distribution partner and select SPs Required Qualifications and Skills 10+ years of experience in an Account Executive, or Channel Partner role where you have exceeded your sales plan each year and document the success Understanding of cyber security landscape, cloud based solutions, and the power of SaaS Ability to travel up to 50% of the time in the UK&I & Nordics Desirable Skills Creative thinking, you look for new opportunities and ways to increase value of partnerships A ch

Our Mission You call. You wait. You call again. In every other part of your life, you book in seconds. In healthcare, you’re blocked. We’re here to give power to the patient. For nearly 20 years, we’ve built the leading healthcare marketplace - helping tens of millions of people find and book the care they need. Now, we’re going further: building our infrastructure beyond Zocdoc’s marketplace to power access to care wherever patients search, from provider websites and insurance directories to search engines, AI platforms, and more. Healthcare still lacks something every other major consumer industry takes for granted: a seamless way to go from seeking to getting . We don’t want to own the front door to care; there isn't one. We want to make sure all of those doors open when patients are knocking. Fixing healthcare starts with fixing access to it. And we're still just getting started. Your impact on our mission Zocdoc's most important asset is our people. As a Senior Director of Enterprise Sales, you'll play a meaningful role in making sure our Enterprise Sales organization operates at the highest level — driving meaningful revenue growth, shaping long-term commercial strategy, and building the kind of high-performing teams that raise the bar for everyone around them. You'll own the strategy, the people, and the results that fuel Zocdoc's mission of giving power to the patient. You'll enjoy this role if you are… Personally motivated by building winning cultures — you believe accountability and engagement aren't opposites, they reinforce each other Autonomous, urgent, and creative. You genuinely love tackling complex organizational challenges and turning them into competitive advantages Highly strategic in your thinking, but never too far from the details that drive execution Passionate about developing leaders — you get just as excited about unlocking a manager's potential as you do about closing a major dea

Aliases: Staff Engineer, Senior Staff Engineer, Lead Engineer, Senior Technical Lead, Senior Architect, Platform Architect, Data Architect, Solutions Architect (Engineering), Principal Engineer at a smaller company About Truveta Truveta is the world's first health provider-led data platform with a vision of Saving Lives with Data. Our mission is to enable researchers to find cures faster, empower every clinician to be an expert, and help families make the most informed decisions about their care. Achieving Truveta's ambitious vision requires an incredible team of talented and inspired people with a unique combination of health, software, and big data expertise who share our company values. This opportunity Join the founding team of the Truveta India Development Center and play a pivotal role in shaping its future. As one of the early members, you will help build and scale a high-impact organization while contributing to the products and platforms that advance healthcare through data and AI. This is an unusual chance to influence both the technical direction and the culture of a growing global engineering hub. The Data Platform group in India owns parts of the pipeline that ingests, processes, stores, and serves healthcare data at a scale very few organizations operate at. Patients, doctors, and medical researchers deserve the same engineering rigor that has transformed other industries, and that is the work: correctness under volume, reliability under failure, and speed without cutting the corners that regulated health data does not allow anyone to cut. Who we need We are seeking engineers who think in platforms. You will own a processing domain or a multi-team data capability, define its architecture, and make that architecture legible enough that the teams building inside it can move quickly without asking permission. The problems at this level are the recurring ones: the class of data-quality defect that keeps retu

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy, and coordinating stock rotations. Additional tasks and responsibilities incl

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary : As a Pharmacy Technician/Delivery Driver with Omnicare, you'll split your time between our closed-door pharmacy and the road — helping fill, stage, and verify orders inside the building, or delivering them to the long-term care communities we serve. Day In The Life: You will work to ensure all medication needs and regulatory standards are met for our patients, both in the pharmacy and in the field. Responsibilities include: • Rotating through assigned pharmacy workstations including: Packaging, Staging, Returns, Narcotics, IV, Ekit, Compounding, Omnicell, Machine Packaging, sterile and non-sterile compounding • Providing timely and accurate delivery of medication, equipment, p

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Are you a skilled Pharmacy Technician looking to advance your career? Looking to change into a closed-door pharmacy setting and gain new skillsets? Join our Omnicare closed-door pharmacy team as an Advanced Pharmacy Technician- and find a career that rewards you. Day In The Life: As an Advanced Pharmacy Technician, you will work to ensure all medication needs and regulatory compliance are met for our patients while working in various pharmacy workstations. Our back-end team focuses on order fulfillment including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy,