- Elevance Health (Wallingford, CT)
- ** 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
- 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
- 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
- CBRE (Hartford, CT)
- …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
- 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
- Sharecare, Inc. (Hartford, CT)
- …-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
- 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
- Intermountain Health (Hartford, CT)
- …Responsibilities:** + Assists with score card initiatives by working with assigned care provider 's program metrics. + Uploads and reviews quality documentation ... the efforts of providers and practice teams on office-based care delivery interventions resulting in cost of... care providers program metrics. + Consults with care team to provide care … 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)
- …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
- 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
- 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
- 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
- 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
- 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
- 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)
- …+ 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
- Sedgwick (Hartford, CT)
- 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
- Prime Therapeutics (Hartford, CT)
- …outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication ... and analysis. Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancements)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more