- Elevance Health (Manchester, NH)
- ** Provider Contract / Cost of Care Consultant Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider / Cost of Care Consultant Senior** will mine data at a… more
- Elevance Health (Manchester, NH)
- … contractors, healthcare networks team and national business partners to meet provider contract needs. + Encourages change management with providers to ... 3 years' experience in data operations related to health care ; or any combination of education and experience, which...fee for service contracting experience. + Ability to analyze provider cost and quality, utilizing that data… more
- Elevance Health (Manchester, NH)
- The Cost of Care Mgr leads and manages...acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as ... multiple cost of care initiatives enterprise wide (eg local, within each state,... improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual… more
- Sedgwick (Concord, NH)
- …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
- CBRE (Concord, NH)
- …basis and present these reports. Align cost plan with project master schedule; provide cost guidance and direction to achieve cost goals with ... cycle costing of LEED/sustainability initiatives (as appropriate). Review all invoices against cost plan; provide valuation services and signoff to project team… more
- Sharecare, Inc. (Concord, NH)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Elevance Health (Manchester, NH)
- …responsibility for the member's case, as required by applicable state law and contract , contributes to the care coordination process by performing activities ... in conjunction with the RN, member and the health care team, to ensure cost effective and...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LPN/LVN, LSW,… more
- Intermountain Health (Concord, NH)
- …plan is evidence based and consistent with goals and objectives of referral, payer contract , or established care processes. + Maintains records by reviewing case ... have the highest quality healthcare at the lowest possible cost . SelectHealth's line of businesses (LOB) include Medicare, Medicaid,...Health Plans and fully-funded and self-funded Commercial plan. The Care Manager 1 - Remote is a Registered Nurse… more
- IMSolutions, LLC (Concord, NH)
- …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
- HomeSafe Alliance (Concord, NH)
- …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
- Sedgwick (Concord, NH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
- Sedgwick (Manchester, NH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- IMSolutions, LLC (Concord, NH)
- …the US_** As a **Mid-Level Acquisition Specialist (CS2)** , you will provide acquisition support services, including contract pre‐award, administration, and ... of both industry and business practices, procurement, contracting policies, methods, cost relationships, and options. + Specialized knowledge of pre‐award … more
- Cardinal Health (Concord, NH)
- …standards. Strong preference for candidates with prior experience handling managed care contracts, customer contract , supplier contracts, and other complex ... Health_** Legal provides the company with strategic, proactive, practical and cost -effective legal advice and services in order to protect the organization's… more
- Humana (Concord, NH)
- …business segments to drive enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, evaluate and ... sourcing profession best practices, including supply market analyses, Porter's Five Forces, should- cost models, process and domain expertise. + Work with IT to… more
- Elevance Health (Manchester, NH)
- …or business requirements document (BRD) to create data mining queries that will contribute to cost of care savings. **How you will make an impact:** + Analyzes ... rules and other system rules to identify overpayments. + Obtains, interprets, and applies provider and member contract language to the creation of BRDs (business… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …responsible for: Strategic planning to ensure the provision of high-quality, cost -effective mental health services. Developing and implementing short- and long-term ... goals and objectives consistent with the health care system strategic plans. Ensuring compliance with accrediting and regulatory agencies as well as monitoring key… more
- Sedgwick (Manchester, NH)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Sedgwick (Concord, NH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... administers action plan pursuant to the claim or client contract . + Administers subrogation of claims and negotiates settlements....not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Intermountain Health (Concord, NH)
- …caregivers work together to provide a collaborative, friendly environment and provide safe, quality, and individualized care and services. Our Category ... efforts to completion, recommending unbiased, data-driven opportunities, managing the contract lifecycle portfolio, and spearheading relevant stakeholder and supplier… more