- Takeda Pharmaceuticals (Hartford, CT)
- …true to the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts , you will lead the development and implementation of ... deadlines relative to contract expirations and post contract evaluation for payer accounts to achieve...+ Will lead the technical and analytical support for payer contracts . + Independently work with Legal,… more
- 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
- The Cigna Group (Bloomfield, CT)
- …the medical cost position of assigned markets through analysis of healthcare provider contracts , data drill downs of contract trend drivers, and execution of ... value to our contracting partners. + Leverage Hospital and Payer Transparency competitor data/insights in contract negotiation...at various levels of the organization. + Assist Senior Manager on planning processes and ad-hoc report requests. +… more
- Intermountain Health (Hartford, CT)
- …contractual allowances and variances, monitoring of individual claims (logs)). Interacts with Payer Contract resources and Pharmacy Director as needed. 3. ... **Job Description:** Scope: The Pharmacy Contract Reimbursement Specialist assists with Pharmacy Benefit ...can be remote! Job Profile: 1. Ensure Pharmacy Benefits Manager (BPM) contracts are properly drafted, and… more
- Takeda Pharmaceuticals (Hartford, CT)
- …to take charge of your future at Takeda. Join us as a Key Account Manager in our Minneapolis, MN geography. Here, everyone matters, and you will be an important ... to our inspiring, bold mission. As a Key Account Manager (KAM) in our Gastroenterology Business Unit, you will...with applicable partners to provide and help execute new contracts or address any updates to provider contracts… more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. Aetna is recruiting for a Senior Manager , Business Development who will partner with business development leaders to build ... finance on the development of financial models and VBC contracts to support portfolio growth. + Partnering with Network...customers. Required Qualifications + 5+ years of experience in Payer and Provider Value based care. + Experience in… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and ... executing enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development and implementation of… more
- HealthEdge Software Inc (Hartford, CT)
- …door to new value-based reimbursement models, benefits plans and provider contracts . The complete suite of solutions fromHealthEdgedelivers a digital foundation for ... payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Manage and standardize programs to meet the client's release/deployment and quality criteria. +… more
- HealthEdge Software Inc (Hartford, CT)
- …to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers ... Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- Hartford HealthCare (Newington, CT)
- …Ability to identify and communicate payer and/or system trends. * Knowledge of payer contracts , regulations and guidelines, as well as State and Federal laws ... provide information. Collects patient payments as appropriate. 2. Understands all payer regulations to effectively communicate with patients about charges, payments… more
- Option Care Health (Hartford, CT)
- …From $18 Responsible for the timely, accurate submission of invoices to responsible payer , of any type, for all services and products provided. Evaluates payments ... **Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee… more
- Prime Therapeutics (Hartford, CT)
- …Serves as facilitator and mentor to the clinical liaisons for assigned contract (s). Assists Account Managers with managing overall client relationship and driving ... program. Provides guidance, assistance and mentoring to assist the Account Manager staff in attaining goals. Requires communication across all departments and… more
- CenterWell (Hartford, CT)
- …support accreditation requirements + Oversight of home infusion reporting for third party payer contracts + Monitor the following key functions: + Program ... vendors and as necessary + Reviews and updates vendor contracts with procurement as necessary + Ensure that the...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more