• Provider Contract / Cost

    Elevance Health (Wallingford, CT)
    ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
    Elevance Health (09/17/24)
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  • Senior Data Analytics - National Unit Cost

    The Cigna Group (Bloomfield, CT)
    …as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, ... a matrix organization + Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit… more
    The Cigna Group (06/27/24)
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  • Contract Manager - Vendor Performance NC…

    Prime Therapeutics (Hartford, CT)
    …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
    Prime Therapeutics (09/17/24)
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  • Contract Manager Vendor Performance - LA…

    Prime Therapeutics (Hartford, CT)
    …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
    Prime Therapeutics (09/15/24)
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  • Medicare Regional Provider Contracting…

    The Cigna Group (Bloomfield, CT)
    …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Creates and/or oversees ... for the network solution. + Responsible for meeting unit cost targets, while preserving an adequate and marketable network,...experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team… more
    The Cigna Group (09/04/24)
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  • Medicare Provider Network Contractor,…

    The Cigna Group (Bloomfield, CT)
    …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team… more
    The Cigna Group (09/17/24)
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  • Medicare Provider Contracting Senior…

    The Cigna Group (Bloomfield, CT)
    …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
    The Cigna Group (08/28/24)
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  • Manager Provider Network Audit Operations

    CVS Health (Hartford, CT)
    …intake process which includes audit and oversight of audit resources of all provider contract /credentialing materials received from provider , provider ... intake process which includes audit and oversight of audit resources of all provider contract /credentialing materials received from provider . Provider more
    CVS Health (09/05/24)
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  • Senior Manager, Network & Provider

    Point32Health (CT)
    …contracts and may actively participate in external provider meetings with Contract Managers. The individual will also provide support for regulatory requests ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
    Point32Health (09/11/24)
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  • Provider Network Management Director (US)

    Elevance Health (Wallingford, CT)
    provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
    Elevance Health (09/18/24)
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  • National Ancillary Provider Contractor…

    The Cigna Group (Bloomfield, CT)
    …or equivalent work experience; Master's degree preferred. + **5+ years experience in Provider Contract negotiations, required** + 8+ years of experience in ... WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a critical contributor to Cigna's enterprise… more
    The Cigna Group (08/13/24)
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  • Provider Network Contracting (MA/RI)

    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 ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Constructs negotiation, execution,… more
    CVS Health (08/31/24)
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  • Manager Provider Data - QuickBase

    CVS Health (Hartford, CT)
    …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... 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… more
    CVS Health (09/05/24)
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  • Managed Care Analyst

    Nuvance Health (Danbury, CT)
    …3.Organizes and analyses physician practice reimbursement, utilizing appropriate rates based on contract structure, place of service, provider and modifiers for ... *Description* Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and...Decision Support systems for all relevant payer plans to provide necessary volume, payment and cost data.… more
    Nuvance Health (08/08/24)
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  • Vice President, Market Access - East

    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
    Option Care Health (07/07/24)
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  • Case Managment / Care Coordination Director

    Nuvance Health (Norwalk, CT)
    …appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures severity ... physician practices locations, including The Heart Center, a leading provider of cardiology care . Non-acute care...ELIGIBLE EXTERNAL CANDIDATES* Summary: Ensure that patients receive quality care in the most cost -effective manner and… more
    Nuvance Health (07/14/24)
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  • Clinical Care Redesign Business Analyst

    Hartford HealthCare (Hartford, CT)
    …the organization is supported through data and evidence-based evaluation of cost containment, utilization, standardization and contract compliance opportunities. ... leaders to develop sound business case by integrating multiple sources of data ( cost & clinical). Serves as a subject matter expert to promote and educate… more
    Hartford HealthCare (07/23/24)
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  • Medicare Advantage Value-Based Contracting…

    The Cigna Group (Bloomfield, CT)
    …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +...experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team… more
    The Cigna Group (09/24/24)
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  • Director Analytics Managed Care Contracting

    Nuvance Health (Danbury, CT)
    …medical groups and ancillaries) as well as WCHN PHO utilizing financial and cost accounting systems in support of the contract negotiation process. Creates ... *Description* *Summary:* Network wide role is responsible for developing and implementing contract reimbursement models and data reporting in support of the payer… more
    Nuvance Health (08/10/24)
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  • Vice President, Freight - Global Household Goods…

    HomeSafe Alliance (Hartford, CT)
    …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more
    HomeSafe Alliance (09/03/24)
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