- CenterWell (Providence, RI)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Providence, RI)
- …and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional who initiates, negotiates, and executes physician, ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- Naval Sea Systems Command (Newport, RI)
- …or public sector. Specialized experience must demonstrate the following: performing professional contracting functions, administration or planning for the ... Summary You will serve as a Senior Contracting Officer in the Contracts Department (Code 02)...Government property reporting, and termination of contracts. You will provide advice and direction to other Contract Negotiators on… more
- CVS Health (Providence, RI)
- …to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. + ... + Understanding of Medicare & Commercial. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
- Humana (Providence, RI)
- …the health of the communities we serve. The Vice President will also provide executive leadership to the National Contracting , Ancillary Contracting , ... provider engagements and issues. + Establish enterprise wide contracting standards, best practices and policies. Collaborate across departments and market… more
- Lumen (Providence, RI)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... to drive savings via RFPs, negotiations, demand management, value engineering. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (Providence, RI)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Entergy (Johnston, RI)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- Highmark Health (Providence, RI)
- …large cross organizational programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3 years Experience working in ... to drive adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions,… more
- Lumen (Providence, RI)
- …Role** The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of highly complex indirect goods and services. Contributes to the ... manage Lumen's "Tier 1" vendors, who are our largest and most visible professional services partners. You will monitor market trends, analyze spend data, define… more
- Highmark Health (Providence, RI)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Entergy (Johnston, RI)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- Bausch + Lomb (Foxboro, MA)
- …leading the advancement of eye health in the future. The Senior Manager, Professional Strategy will help create and deploy strategic plans to cultivate solid ... with Key Opinion Leaders (KOLs), key accounts, educational institutions, and professional associations, in support of the Bausch & Lomb Pharmaceutical business.… more
- CVS Health (Providence, RI)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Providence, RI)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- Cardinal Health (Providence, RI)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- Entergy (Johnston, RI)
- …**Minimum experience required of the position.** + **Analyst I** -0-2 years of professional experience. + **Analyst II** - 2-4 years of professional experience ... + **Analyst III** - 4-6 years of professional experience. + **Analyst Sr** - At least 6...and abilities required of the position.** + Understanding of contracting strategies and project schedule impact. + Thorough understanding… more
- Lumen (Providence, RI)
- …The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of network equipment and embedded or controlling software installed within ... savings via RFPs, negotiations, demand management, value engineering, etc. ** Contracting ** Manage high-complexity contracts and assist with "handing off" tactical… more
- Entergy (Johnston, RI)
- …& trends monthly spend to develop a view on earned value and provide predictability when assessing the project forecast. + Actively performs Forensics Analysis on ... with an owner or contractor. + Understanding of commercial agreements and contracting strategies + Analytical skill set with advanced knowledge of Microsoft Office:… more
- PPL Corporation (Providence, RI)
- …Louisville Gas and Electric, Kentucky Utilities and Rhode Island Energy - provide an outstanding experience for our customers, consistently ranking among the best ... and productivity with suppliers and customers. This position is an experienced professional that works independently with minimal supervision and may provide … more