- The Cigna Group (Bloomfield, CT)
- **Channel Marketing Director, Medicare Advantage - Hybrid** The Marketing Director will be responsible for leading the channel marketing team that supports the Cigna ... Medicare Advantage (MA) business. The MA business is a...with the business on the development of customer targets, value propositions, competitive positioning, consumer research, and more to… more
- Humana (Hartford, CT)
- …corporate strategy. The Financial Analytics Lead plays a pivotal role in our Value Office by collating, modeling, interpreting, and analyzing data to identify and ... calculate and analyze key financial metrics, including Net Present Value (NPV) and Internal Rate of Return (IRR), to...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
- CVS Health (Hartford, CT)
- … care contracting/negotiations. + Experience in Risk- based arrangements and Value - Based care in government services ( Medicare Advantage, Medicaid, ... market and to support segment leaders with growing our value based care portfolio. You will make...in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin,… more
- CenterWell (Hartford, CT)
- …in proximity to a Conviva/CenterWell market location(s) + Experience working in a value - based care, senior care, and/or Medicare managed care **Workstyle** ... quality, cost, and appropriate use based on evidence- based practices for a large, national primary...and align pharmacy services with improvement quality metrics and Medicare part D performance. + Collaborate with stakeholders to… more
- Humana (Hartford, CT)
- …high degree of integrity, professionalism, resourcefulness, and enjoy working in a team- based environment. Medical Directors support Humana value throughout all ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Humana (Hartford, CT)
- …strategic and operational decisions. + Forecasts financial performance in Value Based Contracts using claims data, payer reports, Medicare public use files, ... data + Experience in risk adjusted financial analysis and reporting for Value Based Health Care agreements + Data visualization (PowerBI/Tableau/Qlik)… more
- Humana (Hartford, CT)
- …of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Humana (Hartford, CT)
- …of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. **Use ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- CVS Health (Hartford, CT)
- …actuarial professional with the primary role of leading the development of Aetna's HCB Medicare Value Based Contracting program for our at-risk providers. ... options and opportunities to favorably impact performance of our Medicare Value Based Contracts. +...in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin,… more
- Humana (Hartford, CT)
- …of Humana processes, as well as a focus on collaborative business relationships, value - based care, population health, or disease or care management. **Use your ... quality of care and financial goals. Provides information for pricing guidelines based on utilization patterns and client demographics. Makes decisions on moderately… more
- CVS Health (Hartford, CT)
- …behaviors, and proactively managing bias. Preferred Qualifications: + Experience with value - based contracting across Medicare Advantage, Medicaid, and ... + 15+ years of experience in Payer and Provider Value based care. + Experience in ...in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin,… more
- CVS Health (Hartford, CT)
- …and support the development and implementation of strategic, traditional contracts and value - based relationships. **Role is for national behavioral health ... arrangements, and regulatory requirements. Preferred Qualifications * Proven working knowledge of value based (VBC) and Pay for Performance (P4P) behavioral… more
- Mathematica (Hartford, CT)
- … Medicare alternative payment models, operating peer-to-peer learning systems for Medicare value - based care organizations, developing and maintaining ... qualitative or quantitative analysis and a broad understanding of Medicare or Medicaid program and policy issues. * Familiarity...This position may be eligible for a discretionary bonus based on individual and company performance. Staff in our… more
- CenterWell (Hartford, CT)
- …or related field. * Experience working in a complex value - based health care organization. **Knowledge/Skills/Abilities/Competencies** **Required** * Strong ... a part of our caring community and help us put health first** ** National ** **Director of Transitional Care and High-Risk Patient Management** The Director of… more
- Humana (Hartford, CT)
- …Application modernization initiatives including rearchitecting legacy mainframe, stand-alone and web- based applications to value driven enterprise architecture ... that technology execution aligns with business strategy. + Help achieve value -driven outcomes by ensuring Humana's Technology Strategy is executed in alignment… more
- CenterWell (Hartford, CT)
- …Complex Care will lead clinical strategy and opportunity assessment around new value - based opportunities and programs that directly address the complex needs ... strategies and approaches for seniors' complex care and needs, by developing value - based care models and programs that improve across whole-person care,… more
- Deloitte (Hartford, CT)
- …with product design and/or product strategy + Experience with reimbursement models a€" including value based care/ACO modeling + Ability to program using SQL The ... and human resource performance and establish a culture focused on adding business value ? That is what the new generation of human resource transformation is all… more
- Evolent Health (Hartford, CT)
- …years of progressive leadership and management experience + Leadership role within a value based primary care organization (ACO or Managed Services Organization) ... of President of Evolent Care Partners ("ECP"), Evolent's business unit focused on value - based care relationships with primary care practices. ECP launched as an… more
- Humana (Hartford, CT)
- …simplify messaging and framing on key healthcare topics such as Medicare Advantage, Medicare / Medicaid, Value - based care, AI, health equity, and more + ... posting. The pay range may be higher or lower based on geographic location and individual pay will vary...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Hartford, CT)
- …+ Bachelor's degree + 2-3 years of experience in Provider Network Development and/or Value Based Care + Excellent communication skills, both oral and written + ... to the Humana Healthy Horizons in Ohio market relative to Medicare /Medicaid Duals product implementation, operations, contract compliance, and federal contract… more