- The Cigna Group (Hartford, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Hartford, CT)
- …for value based provider agreements. + Helps formulate and implement network strategic plans to achieve value-based contracting targets and manage medical ... is an individual contributor role**_** **Position Summary** The Sr. Manager , Value-based Contracting is responsible for establishing...+ Familiar with legal terms in the context of provider contracting + Experience with Commercial and… more
- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Provider Contracting Team and reports to the Vice President of Provider Contracting . This role is a key ... Compliance, Sales and Marketing and Service + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- The Cigna Group (Bloomfield, CT)
- …of work plan initiatives including but not limited to network development, provider contracting /re- contracting . + Provide direction and supervision ... and operations. Manage retail provider client-specific custom initiatives related to network contracting and solicitations, often in a condensed time frame.… more
- CVS Health (Hartford, CT)
- …meeting network adequacy requirements. **Required Qualifications** + 5+ years of network contracting /management experience. + Ability to travel as needed. + ... we do it all with heart, each and every day. **The Medicaid Senior Manager , Network Management:** + Negotiates, executes, conducts high level review and analysis… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst...Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary.… more
- CVS Health (Hartford, CT)
- …with external questions on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy ... And we do it all with heart, each and every day. As a Senior Manager , you will play a key role in executing the organization's strategy initiatives for Medical… more
- CVS Health (Hartford, CT)
- …and data auditing. Supports the development and maintenance of a market-specific provider network that meets or exceeds targets for accessibility, regulatory ... and financial performance. Oversees and evaluates the accuracy and timeliness of provider network application processing to drive strategic growth initiatives.… more
- The Cigna Group (Bloomfield, CT)
- The Provider Data Manager is a strategic leadership role responsible for driving data quality initiatives, managing compliance reporting, and leading a ... timely and accurate submission of state-mandated reports related to network adequacy and provider data. + Conduct...Access, MS Project. + 4+ years in healthcare operations, provider services, or contracting . + Familiarity with… more
- CVS Health (Hartford, CT)
- …+ Advance working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems + ... with heart, each and every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by… more
- Hartford HealthCare (Farmington, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... opportunities and maintaining revenue integrity. Evaluates and recommends improvements in contracting in order to ensure all revenue opportunities available are… more
- CVS Health (Hartford, CT)
- …for VBC contracts, working with both internal and external partners, to provide medical cost and outcomes focused analytical research, financial modeling, and ... of the VBC arrangements to answer questions, address issues, and provide analytical support + Responsible for establishing and maintaining productive, professional… more
- PagerDuty (Hartford, CT)
- …flexible, award-winning workplace. **Job Overview** In this role the Partner GTM Senior Manager for our Enterprise Sales Segment and will be responsible for driving ... opportunities and risks. + **_Performance Reporting & Stakeholder Cadences:_** Provide effective and timely internal and external communication and coordination… more
- The Cigna Group (Bloomfield, CT)
- …**The Market Medical Executive is a key collaborator with the Sales and Network / Contracting teams to achieve affordable total cost of care goals and ... The MME:** + Is the clinical point of contact for the network for local market affordability goals, including value-based and population health initiatives.… more
- The Cigna Group (Bloomfield, CT)
- …a management position leading a team of attorneys responsible for the pharmacy network and pharma strategy business units of the Company's pharmacy benefit ... manager (PBM) business and its affiliates. This position will...PBM supply chain, to include the Company's relationships with network pharmacies and pharmaceutical manufacturers. The qualified candidate must… more
- Elevance Health (Wallingford, CT)
- …required with understanding of health insurance policies, health insurance claims handling and provider network contracting . **How will you make an impact:** ... enforcement; or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications, Skills & Capabilities** +… more