- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... with organizational priorities. - Foster a culture of continuous improvement, professional development, and high performance within the provider relations… more
- Commonwealth Care Alliance (Boston, MA)
- …Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting , the Senior Provider Contract Manager is ... negotiations and management. + Specific background in complex managed care provider contracting including Health Systems, Physician Hospital Organizations,… more
- Commonwealth Care Alliance (Boston, MA)
- …with Contracting , Quality Analytics, and Population Health to align provider quality measures with value-based contracts and incentive programs. + Translate ... operations. **Cross-Functional Collaboration & Strategic Support** + Collaborate closely with Provider Engagement, Contracting , Quality, and Clinical to ensure… more
- Commonwealth Care Alliance (Boston, MA)
- …Provider Network Management staff to ensure an adequate and appropriate provider network. Participate in contracting strategy discussions around potential ... 011230 CA- Provider Engagement & Performance **Position Summary** The ...Exercised:** No **Essential Duties & Responsibilities** + Develop strong professional relationships with all providers and their staff while… more
- Commonwealth Care Alliance (Boston, MA)
- …Provider Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions ... 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior...Duties & Responsibilities:** + **Relationship Management** + Develop strong professional relationships with providers across all specialties -, physician,… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting Provider Contract Sr. Specialist II Non-member facing Non-Applicable **Compensation Range/Target: $64,000 - $96,000** Commonwealth ... Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education,… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Long-Term Services and Supports (LTSS) provider organizations that serve One Care and Senior Care...metrics. + Collaborate with Business Intelligence, Finance, Quality, and Contracting to develop and disseminate performance reports and dashboards.… more
- Commonwealth Care Alliance (Boston, MA)
- …integration of each growth opportunity into existing instED operations, from contracting to go-live.. Within this team, the Implementation Manager serves a ... Client/Strategic Partner contracts - Develops and maintains Client/Strategic Partner contracting process - Demonstrated proficiency in developing and reviewing… more
- Commonwealth Care Alliance (Boston, MA)
- …critical measures. The role supports efforts of the organization's Network and Provider Contracting department and will have regular interaction with relevant ... 011230 CA- Provider Engagement & Performance **Position Summary:** The HEDIS...Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment,… more
- Commonwealth Care Alliance (Boston, MA)
- …improving UM program design, policies, procedures, workflows, and correspondence. - Supports provider relations and provider contracting leaders in the ... network strategy, vendor relationship management and claims processing. Works closely with provider relations on resolving provider related issues. - Directs the… more
- Humana (Boston, MA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional 2 who initiates, negotiates, and executes ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- Deloitte (Boston, MA)
- …+ Provide authoritative guidance to business teams around professional services contracting (including technology, Managed Services/Outsourcing) and ... A successful candidate will possess these skills: + Strong understanding of professional services contracting lifecycle with an emphasis on technology services… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... with organizational priorities. * Foster a culture of continuous improvement, professional development, and high performance within the provider relations… more
- Jacobs (Boston, MA)
- … professional post graduate years of geotechnical design experience (consulting or contracting ) * Professional Engineer (PE) license * Flexibility to travel ... By joining us as a Geotechnical Engineer, you will lead geotechnical tasks, provide leadership to geotechnical staff, and lead the delivery for on a wide variety of… more
- Beth Israel Lahey Health (Boston, MA)
- …of Sponsored Programs Administration (SPA), the Director of Sponsored Programs Contracting (SPC) is responsible for the planning, development, implementation and ... measurement of sponsored programs contracting activities including fiscal management, human resources, resource allocation and compliance. The Director represents… more
- CVS Health (Boston, MA)
- …**Position Summary** The Senior Manager will lead strategic pharmaceutical contracting initiatives, including the negotiation and management of select manufacturer ... financial data to optimize contract terms and deliver cost savings. + Provide strategic direction to account management and manufacturer negotiations to control drug… more
- Point32Health (Canton, MA)
- …and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network. + Summarize findings ... Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for...of regulatory requests. + Coordinates and oversees the annual re- contracting of the provider network for commercial… more
- Sanofi Group (Cambridge, MA)
- **Job Title** : Senior Director, Transplant Access Strategy and Provider Accounts **Location:** Cambridge MA or Morristown, NJ **About the Job** The Sr Director, ... Transplant Market Access Strategy & Provider Accounts will lead a small team and be...short and long-term transplant market access strategy (positioning, pricing, contracting , pull-through plans) from start to end, for national/regional… more
- CVS Health (Boston, MA)
- …managing relationships with third-party vendors to ensure optimal performance, compliance, contracting and alignment with organizational goals to ensure the delivery ... of exceptional provider experiences and operational excellence. This role serves as the primary liaison between the company and its vendors, overseeing contract… more
- Highmark Health (Boston, MA)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
