- Cardinal Health (Hartford, CT)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract, contract parties and the data. Supporting the ... Managed Care Contract Team at Baycare Health Partners. The Sr. Managed Care Contract Manager , will also perform research and collect data to find… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- The Cigna Group (Bloomfield, CT)
- …making + Experience in medical management, case management, and/or utilization management in a managed care setting is highly desirable + Knowledge of managed ... per year to maintain clinical expertise. + The Case Manager interacts with Care Associates, benefit specialists, Cigna Coverage Review Department (CCRD), Accredo… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Care Manager provides a link between provider and payer organizations, physicians and the community in the transition of patient care ... at the other hospital as needed. Reports to the Manager of Care Management. EDUCATION/CERTIFICATION + Graduate...participates in process improvement. + Provides clinical information to managed care companies in a timely manner,… more
- Baystate Health (Springfield, MA)
- **RN, ACO Nurse Care Manager , Community Health Center** The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group ... Capacity to work closely with patients, physicians and their office staffs and managed care plans. Strong organizational and prioritization skills. Attention to… more
- J&J Family of Companies (Hartford, CT)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- Molina Healthcare (Hampden, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- CDM Smith (Springfield, MA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CAI (Hartford, CT)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- The Cigna Group (Bloomfield, CT)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- CDM Smith (Hartford, CT)
- …CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing transportation projects to join and help lead ... and deliver on exciting opportunities by: * Serving as the Senior Project Manager for design and planning projects in our transportation program. * Working with… more
- CVS Health (Hartford, CT)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** As a Manager for the Business Compliance Office (BCO) located within...this team implements parts of PBM regulations that are co- managed between the two teams. + Facilitate the compliance… more
- Hartford HealthCare (Hartford, CT)
- …unparalleled network of coordinated services- all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and ... backed by the latest cutting-edge technology. The Cancer Community Outreach Manager is responsible for managing system-wide community programs such as the… more
- CVS Health (Hartford, CT)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... with heart, each and every day. **Enterprise Contingent Worker Program Sr. Manager ** We are seeking an experienced and enthusiastic Procurement Senior. Manager… more
- Owens & Minor (Springfield, MA)
- …collections, clinical, distribution, and supporting sales. + Responsible for partnering with Managed Care counterpart to understand provider networks and grow ... we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission… more
- Sherwin-Williams (West Springfield, MA)
- The Branch Manager is responsible for managing the operations of the Automotive Branch Facility. Functions managed include sales, profit, expenses, ... supervisors/leadership of branch personnel and safety/security of the facility. The Branch Manager will ensure the Branch provides the highest level of Trademark… more
- Lumen (Hartford, CT)
- …connect the world and shape the future. **The Role** The Lead Project Manager will be aligned to our Enterprise Operations organization and will be responsible ... systems, ordering, inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care , operations, program management plans, change management plans, resource… more
- Cardinal Health (Hartford, CT)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- The Cigna Group (Bloomfield, CT)
- …related experience preferred + Proficient knowledge (min 3-5 years) in healthcare / managed care business; to include many or all the following: product ... health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the… more