
Provider Contract / Cost of Care Consultant
At Elevance Health, we are dedicated to building a healthier future for all. We are currently seeking a highly motivated Provider Contract/Cost of Care Consultant to join our team. As a Consultant, you will play a crucial role in analyzing and negotiating provider contracts, as well as identifying cost-saving opportunities for our company. We are looking for someone who is passionate about improving the healthcare industry and has a strong background in contract negotiation and cost analysis. If you are a driven individual with a deep understanding of healthcare economics and a desire to make a positive impact, we encourage you to apply for this exciting opportunity.
- Conduct thorough analysis of provider contracts to ensure cost-effectiveness and alignment with company goals and objectives.
- Negotiate and renegotiate provider contracts to achieve optimal terms and cost savings for the company.
- Identify opportunities for cost reduction and cost containment within the healthcare industry.
- Collaborate with cross-functional teams to develop and implement strategies for managing healthcare costs.
- Stay updated on industry trends, regulations, and changes in healthcare economics to inform contract negotiations and cost analysis.
- Maintain strong relationships with healthcare providers and other external stakeholders.
- Utilize data and analytics to evaluate provider performance and make recommendations for contract adjustments.
- Develop and present reports and presentations on contract negotiations and cost-saving initiatives to senior leadership.
- Coordinate and communicate with internal teams to ensure contract compliance and implementation of cost-saving strategies.
- Continuously monitor and evaluate current contracts to identify areas for improvement and cost-saving opportunities.
- Participate in industry conferences and networking events to stay informed and connected within the healthcare industry.
- Adhere to ethical standards and legal requirements in all contract negotiations and cost analysis activities.
- Provide support and guidance to junior team members as needed.
- Proactively seek out and implement innovative solutions to improve the company's cost of care.
- Represent the company in a professional and positive manner at all times.
Degree In Healthcare Administration Or Related Field: A Strong Foundation In Healthcare Administration Is Essential For A Provider Contract/Cost Of Care Consultant Role. Candidates Should Possess A Minimum Of A Bachelor's Degree In Healthcare Administration Or A Related Field, Such As Business Or Economics.
Experience In Provider Contracting: Candidates Should Have A Demonstrated Understanding Of Provider Contracting And Reimbursement Methodologies. This Includes Experience With Fee Schedules, Capitation Arrangements, And Value-Based Contracts.
Knowledge Of Healthcare Cost Trends: Elevance Health Is Committed To Reducing Healthcare Costs For Its Clients. Therefore, Candidates Should Have A Strong Understanding Of Healthcare Cost Trends, Including Factors That Drive Cost Increases And Strategies For Cost Containment.
Analytical And Problem-Solving Skills: The Provider Contract/Cost Of Care Consultant Will Be Responsible For Analyzing Data, Identifying Cost Drivers, And Developing Solutions To Reduce Costs. Strong Analytical And Problem-Solving Skills Are Essential For Success In This Role.
Excellent Communication And Negotiation Skills: The Ability To Effectively Communicate And Negotiate With Providers Is Crucial For A Provider Contract/Cost Of Care Consultant. Candidates Should Be Able To Build Relationships With Providers And Effectively Communicate Complex Information.
Risk Management
Data Analysis
Negotiation skills
Financial Modeling
Cost Analysis
Contract analysis
Contract compliance
Healthcare Regulations
Cost Containment Strategies
Provider Network Management
Payment Methodologies
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Provider Contract / Cost of Care Consultant in Chicago, IL, USA is $75,000 - $120,000 per year. This can vary based on factors such as experience, education, and additional skills.
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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.

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