- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
- Sumitomo Pharma (Hartford, CT)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Hartford, CT)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , Business Development who will partner with business development leaders to ... finance on the development of financial models and VBC contracts to support portfolio growth. + Partnering with Network...or equivalent experience. + 5+ years of experience in Payer and Provider Value based care. + Experience in… more
- CVS Health (Hartford, CT)
- …and other related material. -Interacts with negotiation teams to review value-based contract terms that need to be modified. -Reviews and provides insight into ... negotiating for resources -5+ years Healthcare industry experience required, with payer preferred -Experience with Microsoft suite, including Word, Excel, One Note,… more
- Fair Haven Community Health Care (New Haven, CT)
- …to the Director of Behavioral Health, the IOP Program Clinical Manager supervises daily activities of clinical team, including Intensive Outpatient Services ... of continuous quality improvement focused on ensuring that third party payer compliance requirements (documentation, treatment plans, and medical necessity) are met… more
- HealthEdge Software Inc (Hartford, CT)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more