- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes ... and/or other provider contracts and agreements. The Provider Contracting Professional 2...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms, payment… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... shine? Join us as a Manager, Site Budgeting and Contracting based remotely reporting to the Associate Director, Site...global teams are united by an unwavering commitment to provide Better Health and a Brighter Future to people… more
- Point32Health (Canton, MA)
- …development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Support RFP work ... for the submission of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial business. + Works with… more
- Humana (Boston, MA)
- …help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across assigned markets to ... Business Review Meetings (QBR) with assigned market leaders to provide updates on VBP model performance, answer questions and...questions and resolve issues, consult on VBP strategy and provider targets, and ensure timely decision making on VBP… more
- J&J Family of Companies (Raynham, MA)
- …the development of detailed offers demonstrating product expertise, discernment and professional judgment while adhering to contracting strategies and price ... Enablement **Job Sub** **Function:** Contract Administration and Management **Job Category:** Professional **All Job Posting Locations:** US014 MA Raynham - 325… more
- Highmark Health (Boston, MA)
- …programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of provider contract ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Beth Israel Lahey Health (Charlestown, MA)
- …pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and ... Leadership. * Perform process review of denials by hospital departments, and provide clinical improvement initiatives. * Draft, revise, and enforce BILH policies and… more
- State of Massachusetts (Boston, MA)
- …Unit. The selected candidate will be responsible for the following duties: * Provide legal advice to ensure that the agency's mandates, licensing procedures, child ... other agencies and providers on agency regulations, policies and goals; * Contracting and Budgeting Review: The Deputy General Counsel provides internal legal… more
- Commonwealth Care Alliance (Boston, MA)
- …critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant ... 011230 CA- Provider Engagement & Performance **Position Summary:** The HEDIS...of focus will be to: 1. Identify underperforming Providers 2 . Work cross-functionally to determine reasonable expectations and solutions… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth The right candidate: * Has a significant ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- HNTB (Boston, MA)
- …on the vision and strategy for the department to identify new work, provide enhanced services, and continue growth **What You'll Do:** + Develops, monitors and ... forecast updates. + Responsible for the management, growth and professional development of discipline-specific engineering department. Coordinates department activities… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. * Supports provider relations and provider contracting leaders in the ... vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues....or nursing leadership to include a minimum of two ( 2 ) years leadership experience in UM. * Minimum three… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... solutions to address the legal department needs. + Support: Provide training around day-to-day activities, related to processes and...that requires US Tax professionals to co-locate in person 2 -3 days per week + 5+ years' experience with… more
- Fujifilm (Boston, MA)
- …ways. Whether you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where innovation thrives. ... operating divisions as assigned by the Division General Counsel. + Coordinate and provide strategic legal advice to business partners with respect to a variety of… more
- Medtronic (Mansfield, MA)
- …models, and develop actionable dashboards and tools to support pricing strategies and contracting effectiveness. In this role you will apply your data mining skills, ... week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the… more
- Deloitte (Boston, MA)
- …then we would like to get to know you. Apply now! What you'll do As a professional in Deloitte's Tax Technology Consulting (TTC) team, you will be a part of a team ... the efficiency of tax and legal departments. + Support: Provide training and software support around day-to-day activities, related...that requires US Tax professionals to co-locate in person 2 -3 days per week + Ability to travel up… more
- Thrivent Financial (Boston, MA)
- …journeys to financial clarity, empowering lives of service and faith. + Provide personal, actionable and achievable advice and connect clients to Thrivent products ... communities where clients live, work and worship. Whether you're a seasoned financial professional or looking for a career change, you could be a successful Thrivent… more
- Medtronic (Mansfield, MA)
- …week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the ... of life experiences as our patients. The Contract Analyst provides analytic, contracting , and operational support to the Field Sales Organization. This includes… more
- Honeywell (Canton, MA)
- … 2 + years' experience in engineering and energy savings calculations for performance contracting . + 2 + years' knowledge and practice of M&V protocols and ... + Develop & implement Measurement & Verification (M&V) plans for ESPC projects. + Provide M&V support to the development team during HBS response to RFPs/RPQs for… more