- CenterWell (Boston, MA)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Boston, MA)
- …and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional who initiates, negotiates, and executes physician, ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- Deloitte (Boston, MA)
- … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... the trusted advisor to leaders on multiple accounts. + Provide mentoring and training to Risk Management colleagues and...will bring to the table: + Strong understanding of professional services contracting lifecycle with an emphasis… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- Lumen (Boston, MA)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of outsourced professional services and goods that are incorporated ... drive savings via RFPs, negotiations, demand management, value engineering, etc. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (Boston, MA)
- …to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. + ... + Understanding of Medicare & Commercial. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
- WIN Waste Innovations (Saugus, MA)
- …all deliveries and verifies accuracy + Manages Service Agreement and Supplier Contracting process + Establishes professional relationships with key supplier ... materials + Monitor status of all purchase orders in progress and provide order-tracking detail to internal customer + Maintains all procurement related files… more
- Elevance Health (Woburn, MA)
- …Requirements:** + BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include prior ... Associate Referral Bonus: $250 Provider Network Manager Sr. - Contract Negotiations (JR151123)...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the… more
- Cognizant (Boston, MA)
- …Technology Solutions (NASDAQ: CTSH) is one of the world's leading professional services companies, redefining customers' business, operating, and technology models ... and uniquely address those needs with our solutions. We provide mentoring where you will connect with peers and...+ Assist in managing account budget, financial performance, and contracting and ensuring forecast and pipeline accuracy + Demonstrate… more
- Lumen (Boston, MA)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... to drive savings via RFPs, negotiations, demand management, value engineering. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- Highmark Health (Boston, MA)
- …large cross organizational programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3 years Experience working in ... to drive adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions,… more
- Lumen (Boston, MA)
- …Role** The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of highly complex indirect goods and services. Contributes to the ... manage Lumen's "Tier 1" vendors, who are our largest and most visible professional services partners. You will monitor market trends, analyze spend data, define… more
- Highmark Health (Boston, MA)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Humana (Boston, MA)
- …community and help us put health first** The Senior Procurement Professional generates and implements efficient sourcing and category management strategies. Manages ... company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to complex issues where… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... The Head of Contract Management (Director Level) is a highly experience professional responsible for ownership of the Pricing, Value, and Access contracting… more
- Bausch + Lomb (Wilmington, MA)
- …leading the advancement of eye health in the future. The Senior Manager, Professional Strategy will help create and deploy strategic plans to cultivate solid ... with Key Opinion Leaders (KOLs), key accounts, educational institutions, and professional associations, in support of the Bausch & Lomb Pharmaceutical business.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …3. Ability to manage multiple priorities 4. In depth knowledge of Hospital and Professional provider payment methodologies 5. In depth knowledge of risk and ... and Accounting Departments, as well as externally with the Contracting & Provider Relations staff of the...contract negotiations including but not limited to Hospital rates, Professional rates, risk terms and language. 2) Monitors financial… more
- BAE Systems (Nashua, NH)
- …Combat Systems (ECS) Business Area is looking for a motivated Contracts Professional to support multiple classified programs. The successful candidate should have ... applicable laws and regulations and the ability to develop and maintain professional and dependable relationships with both internal and external customers. Primary… more
- CVS Health (Boston, MA)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Boston, MA)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more