Provider Contract / Cost of Care Consultant

Are you looking for an opportunity to use your analytical skills and experience in the healthcare industry to make a meaningful impact? Look no further! Elevance Health is seeking a highly motivated and detail-oriented Provider Contract/Cost of Care Consultant to join our dynamic team. As a key member of our team, you will play a crucial role in developing and implementing strategies to optimize provider contracts and manage the cost of care. We are seeking a candidate with a strong understanding of healthcare reimbursement models, excellent communication skills, and a track record of delivering results. If you are a self-starter who thrives in a fast-paced, collaborative environment, we want to hear from you!

1. Develop and implement strategies to optimize provider contracts and manage the cost of care.
2. Analyze healthcare reimbursement models and provide recommendations for improvement.
3. Collaborate with cross-functional teams to identify and mitigate potential cost drivers.
4. Conduct thorough analysis of provider contract performance and make data-driven recommendations for contract negotiations.
5. Monitor and track cost of care metrics, identify trends and variances, and provide insights to inform decision-making.
6. Communicate with providers to negotiate contract terms and address any concerns or issues.
7. Stay updated on industry trends and changes in healthcare policies and regulations to ensure compliance and inform strategy.
8. Utilize analytical tools and software to gather and analyze data and present findings in a clear and concise manner.
9. Collaborate with internal teams to develop and implement cost-saving initiatives.
10. Communicate effectively with cross-functional teams and present complex information in a clear and understandable manner.
11. Develop and maintain strong relationships with providers and other stakeholders.
12. Ensure accuracy and integrity of data and adhere to company policies and procedures.
13. Act as a subject matter expert on provider contracts and cost of care for the company.
14. Continuously identify opportunities for process improvement and efficiency.
15. Serve as a mentor and resource for team members to enhance their understanding of provider contracts and cost of care.

According to JobzMall, the average salary range for a Provider Contract / Cost of Care Consultant in Houston, TX, USA is $68,000 - $120,000 per year. This may vary depending on the specific company, years of experience, and education level of the consultant. Some consultants may also receive bonuses and other benefits in addition to their base salary.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.