- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract negotiations, ... of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key...these align or differ from other payer contracts or industry standards. Analyze performance of contract… more
- Sumitomo Pharma (Hartford, CT)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Hartford, CT)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Baystate Health (Springfield, MA)
- …Analyzes operational issues related to professional billing, including denial analysis, payer effectiveness and contract compliance. **10)** Coordinates projects ... of provider-centric reports and dashboards, and net revenue modeling. The Manager , Provider Enrollment and Business Intelligence also oversees provider registration… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , Business Development who will partner with business development leaders to ... finance on the development of financial models and VBC contracts to support portfolio growth. + Partnering with Network...or equivalent experience. + 5+ years of experience in Payer and Provider Value based care. + Experience in… more
- CVS Health (Hartford, CT)
- …and other related material. -Interacts with negotiation teams to review value-based contract terms that need to be modified. -Reviews and provides insight into ... negotiating for resources -5+ years Healthcare industry experience required, with payer preferred -Experience with Microsoft suite, including Word, Excel, One Note,… more
- HealthEdge Software Inc (Hartford, CT)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more