- The Cigna Group (Bloomfield, CT)
- …health care data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Familiarity with various data ... **Business Analytics Associate - ( Provider Contract Analytics)** **Summary:** We are...management, medical management, and pricing business units to deliver contract analysis results in line with trend/ cost … more
- Sedgwick (Hartford, CT)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- The Cigna Group (Bloomfield, CT)
- …working 3 days per week onsite and 2 days per week remote._** The Provider Contracting Advisor (PCA) is responsible for the overall management of the Behavioral ... consists of identified large, high-volume, multi-state or national practices that provide virtual and digital resources. These regional and/or national outpatient… more
- Humana (Hartford, CT)
- …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, Teaming ... and applicable file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR)… more
- Hartford HealthCare (Wethersfield, CT)
- …of health care finance and/or accounting issues . Knowledge of cost accounting and EPSi highly desired . Strong interpersonal and communication skills essential ... the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for negotiated… more
- The Cigna Group (Bloomfield, CT)
- …of our practice is: + Comprehensive Health Risk Assessments (HRA): health plans contract with ENHB care to conduct in-home comprehensive health assessments in ... a division of Cigna, is the premier home-based healthcare provider and medical services company. We are an innovative,...**Duties & Responsibilities:** + Works to achieve quality medical care and outcomes for patients, in a cost… more
- Option Care Health (Hartford, CT)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Elevance Health (Rocky Hill, CT)
- **Behavioral Health Care Manager II** **This is a remote, individual contributor role; however, it is expected for the person in this role to live in the state of ... 8:30 am to 5 pm EST.** The Behavioral Health Care Manager II is responsible for managing psychiatric and...access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines… more
- Elevance Health (Rocky Hill, CT)
- …for autism and depression, and insightful analytics to improve the delivery of care .** **BH Care Manager II** Responsible for authorizing and reviewing ... needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract .… more
- Elevance Health (Rocky Hill, CT)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- CVS Health (Hartford, CT)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary: Do you want to make… more
- The Cigna Group (Bloomfield, CT)
- …as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, ... non-technical stakeholders. + Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and… more
- IMSolutions, LLC (Hartford, CT)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Prime Therapeutics (Hartford, CT)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- The Cigna Group (Bloomfield, CT)
- …and non-technical stakeholders. + Familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and ... resource's main focus is to assist with competitive unit cost data solutions & insights, with an initial focus...+ Experience working with IT + Strong understanding of Provider Contracting & contract negotiations preferred +… more
- Prime Therapeutics (Hartford, CT)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Baystate Health (Springfield, MA)
- …+ Health New England (https://www.healthnewengland.org/) , a health insurance provider + Home care and hospice services ... is the largest healthcare organization in western Massachusetts. The care we provide plays an essential role...OF WORKING WITH BAYSTATE** + Excellent Compensation + High-quality, low- cost medical, dental and vision insurance + Generous PTO… more
- HomeSafe Alliance (Hartford, CT)
- …crate and freight alternate shipments. + Focus on GHC US Government Contract customer satisfaction, cost , schedule, delivery, safety, process improvements, ... of Operations Excellence** is responsible for HomeSafe Alliance Global Household Goods Contract PWS metrics, Key Performance Indicators, and Contract Deliverable… more
- Baystate Health (Springfield, MA)
- …and financial health Baystate Health, western Massachusetts' only academic center and tertiary care provider has a long and proud tradition of continuous ... MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low- cost medical, dental and vision insurance + Generous PTO - up to… more
- Baystate Health (Springfield, MA)
- …+ Health New England (https://www.healthnewengland.org/) , a health insurance provider + Home care and hospice services ... is the largest healthcare organization in western Massachusetts. The care we provide plays an essential role...OF WORKING WITH BAYSTATE** + Excellent Compensation + High-quality, low- cost medical, dental and vision insurance + Generous PTO… more