- CenterWell (Augusta, ME)
- …our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Augusta, ME)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health ... provider contracts. The Provider Contracting Professional 2 communicates...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Humana (Augusta, ME)
- …a part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and… more
- CenterWell (Augusta, ME)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in ... and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for… more
- Lumen (Augusta, ME)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of network equipment and outsourced professional services that are ... to drive savings via RFPs, negotiations, demand management, value engineering. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (Augusta, ME)
- …and teamwork + Detail oriented + Medicare & Medicaid network/product contracting experience. **Education** Bachelor's degree or equivalent professional ... and business partners across Aetna's Medicaid and Medicare lines of business provide national (LTSS) Long term support service network oversight for the coordinated… more
- Entergy (Wiscasset, ME)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- Highmark Health (Augusta, ME)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Entergy (Wiscasset, ME)
- …complexity will be provided commensurate with the demonstrated technical, professional , inter-personal and leadership skills. The specialist operates autonomously ... manager and the change order process + Execute contract governance and provide oversight of supplier performance management, including claims management and dispute… more
- CVS Health (Augusta, ME)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision… more
- Meta (Augusta, ME)
- …roles to join our Design, Engineering & Construction (DEC) organization to direct contracting across the full E2E project lifecycle of data center campuses in North ... contract management function at the program level, including custom contracting strategies, first-of-kind product and deal solutions, contracts management tooling… more
- Cardinal Health (Augusta, ME)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... laws and regulations applicable to the AHS business. **_Responsibilities_** * Provide legal guidance on various healthcare laws, regulations, and subregulatory… more
- Entergy (Wiscasset, ME)
- …**Minimum experience required of the position.** + **Analyst I** -0-2 years of professional experience. + **Analyst II** - 2-4 years of professional experience ... + **Analyst III** - 4-6 years of professional experience. + **Analyst Sr** - At least 6...and abilities required of the position.** + Understanding of contracting strategies and project schedule impact. + Thorough understanding… more
- Entergy (Wiscasset, ME)
- …& trends monthly spend to develop a view on earned value and provide predictability when assessing the project forecast. + Actively performs Forensics Analysis on ... with an owner or contractor. + Understanding of commercial agreements and contracting strategies + Analytical skill set with advanced knowledge of Microsoft Office:… more
- Central Maine Medical Center (Lewiston, ME)
- …and engaging teams through solicitation of input and plan implementation to provide and improve delivery of patient care, new program development, and value ... and matrix.* Monitor budgetary indicators and recommend budget adjustments as appropriate.* Provide input into pricing structures and assist in the development of… more
- CenterWell (Augusta, ME)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- MaineGeneral Health (Waterville, ME)
- …and conduct regulatory research + Analyze government reimbursement and assist with provider and payer enrollment + Manage professional enrollment, facility ... ambitious people who share our values and strive to provide excellent customer service. We are actively seeking a...excellent customer service. We are actively seeking a finance professional to join our experienced team as the Director… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …oversees statewide consistency of assets and conducts all aspects of contracting associated with the maintenance and operation of MaineDOT's transportation system. ... project estimating, as well as licensure as a Maine Professional Engineer. Work is performed under limited supervision. To...To be minimally qualified for this position candidates must provide evidence of the following experience: Licensure as a… more
- Pearson (Augusta, ME)
- …market trends, influencing strategic decisions. + **Mentorship and Guidance:** Mentor and provide guidance to peers and junior colleagues, serving as a technical ... to respond to customer needs, streamlining deal structures, approval processes, and contracting cycles to improve deal size and velocity. + **Sales Strategy:** Turn… more
- Travelers Insurance Company (Augusta, ME)
- …with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as the organization's lead physician. Serve as the ... external forums representing Travelers. Function as a liaison and professional relations contact on a local and national level....contact on a local and national level. + May provide input and support medical vendor strategies including vendor… more