- Baystate Health (Springfield, MA)
- **Summary:** Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components of the ... providing higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis,… more
- Hartford HealthCare (Wethersfield, CT)
- …the Sr. Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such ... **Organization:** **Hartford HealthCare Corp.* **Title:** *Senior Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Wethersfield-1290 Silas Deane… more
- Elevance Health (Rocky Hill, CT)
- …programs for autism and depression, and insightful analytics to improve the delivery of care .** **BH Care Manager II** Responsible for authorizing and ... of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities and… more
- Elevance Health (Rocky Hill, CT)
- …broad range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC accredited areas, the ... effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate....+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
- Elevance Health (Wallingford, CT)
- …range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. For URAC accredited areas, the following ... effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate....+ Will serve as a resource to other BH Care Managers. Assists with more complex cases and may… more
- Prime Therapeutics (Hartford, CT)
- …implementation **Responsibilities** + Provider experience preferred. + Marketing - 5+ years + Managed Care Pharmacy Experience - 5+ years. + Pharmacist Account ... and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description Summary** Leads the clinical… more
- Prime Therapeutics (Hartford, CT)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... with Account Manager to ensure revenue goals, administrative expenses are managed . + Develops strong relationships with key contacts at client level. + Develops… more
- HomeSafe Alliance (Hartford, CT)
- **Title:** South Central Regional Network Development Manager **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 ... efforts with Personal Property Shipping Offices. The **SC Regional Network Development Manager ** opportunity will be based in the South Central Region (Kentucky,… more
- Prime Therapeutics (Hartford, CT)
- …products or services that includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the company's ... and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description Summary** **Job Description** Job Summary: Overall management… more
- Prime Therapeutics (Hartford, CT)
- …with Account Manager to ensure revenue goals, administrative expenses are managed . + Develops strong relationships with key contacts at client level. + Develops ... fuels our passion and drives every decision we make. **Job Posting Title** Manager , Clinical Pharmacy Programs- REMOTE **Job Description Summary** Plays a key role… more
- Teradata (Hartford, CT)
- **What You'll Do** The Senior Strategic Sourcing Manager for the Marketing, HR, and Contingent Labor Categories is a leader who builds strong relationships with ... HR and Contingent Labor categories, including stakeholder management, sourcing, contract negotiations, category strategy, spend analysis/market intelligence, and supplier… more
- Baystate Health (Springfield, MA)
- …**8)** Provides analytical support to the central billing office, finance, compliance, and managed care teams and leadership. Supports the initiatives of RMOG ... of provider-centric reports and dashboards, and net revenue modeling. The Manager , Provider Enrollment and Business Intelligence also oversees provider registration… more
- Virtual Service Operations (Hartford, CT)
- Desktop & Depot Support Manager in Hartford, CT Hartford, CT (http://maps.google.com/maps?q=Hartford+CT) Description Are you looking to take the next step in your IT ... Operations is searching for a Desktop & Depot Support Manager to join our team in Hartford, Connecticut. In...locations. + Please note that pursuant to a government contract , this specific position requires US citizenship status What… more
- Elevance Health (Rocky Hill, CT)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... Hill** **Job Description Summary:** **Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this… more
- Baystate Health (Springfield, MA)
- …, a health insurance provider + Home care and hospice services (https://www.baystatehealth.org/services/home-health) Our typical annual ... + Over 1.8 million outpatient visits, including comprehensive sick and preventive care + Over 180,000 emergency visits + More than 37,000 surgeries performed… more
- Prime Therapeutics (Hartford, CT)
- …in healthcare or insurance, to include 5 years of account management experience in PBM or managed care + Must be eligible to work in the United States without ... **Responsibilities** + Serve as line of business expert and relationship manager for designated LOB counterparts within assigned accounts; identify, establish,… more
- Prime Therapeutics (Hartford, CT)
- …clinical solutions in support of our clients' goals to reduce expenses and improve care . Serves as facilitator and mentor to the clinical liaisons for assigned ... contract (s). Assists Account Managers with managing overall client relationship...recommendations is essential for both the client's cost of care and the overall administration of the programs. Activities… more
- The Cigna Group (Bloomfield, CT)
- … Manager , or other SAFe certifications is preferred. + Experience in health care / managed care required. + Ability to advance strong employee engagement ... Support the financing approval and negotiation process. + If funded/approved (client contract - cost/timing), then monitors across impacted teams to deliver the… more
- HomeSafe Alliance (Hartford, CT)
- …Marketing) - Remote **HomeSafe Alliance** is the exclusive household goods move manager for US military members, Department of Defense civilians, and their families ... under the Global Household Goods Contract (GHC). At HomeSafe, we are ushering in a...program + Family Support: Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… more
- Highmark Health (Hartford, CT)
- …provider data code sets, and benefits into systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This ... limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager , or Tester, based upon experience and need. + Provide required… more