- Baystate Health (Springfield, MA)
- …forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components ... providing higher quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis,… more
- Elevance Health (Woburn, MA)
- …+ 3 years contract negotiation experience, preferably within health plan/ managed care environment. + Experience with standard reimbursement methodologies. + ... Associate Referral Bonus: $250 Provider Network Manager Sr. - Contract Negotiations (JR151123)...with strong competition or where greater provider education around managed care concepts is required. Contracts involve… more
- Cognizant (Boston, MA)
- ** Contract Strategy & Oversight- Senior Manager (remote)** This is a remote position open to any qualified applicant in the United States. **Purpose:** Providing ... contract development, negotiation, and sales support for revenue-generating activities across multiple products and services. This includes expert deal structuring,… more
- Prime Therapeutics (Boston, MA)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - LA PDL Remote **Job Description** Innovative business...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
- The Cigna Group (Newton, MA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- CDM Smith (Boston, MA)
- …throughout the project planning, delivery, and closeout lifecycle. Senior Project Manager key performance indicators include revenue managed , profit delivered, ... CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing municipal water services projects to join our… more
- RTX Corporation (Marlborough, MA)
- …Immigration Status Requirements:** **Security Clearance:** None/Not Required **Raytheon Company, Managed by Collins Aerospace** The **Senior Hardware Control Account ... Manager ** is part of the **Hardware and Infrastructure (HW&I)...US citizens are authorized to access information under this program/ contract **Qualifications We Prefer:** + Experience with air traffic… more
- Lumen (Boston, MA)
- …the world and shape the future. **The Role** The Senior Lead Program Manager will be responsible for leading cross-functional teams in planning and executing all ... Treasury, and the Department of Energy's sub-agencies. The Senior Lead Program Manager must successfully implement and support projects, such as proposal support,… more
- Beth Israel Lahey Health (Westwood, MA)
- …Apply in-depth knowledge of reimbursement methodologies, risk-based payor contracts, trends in managed care finance, and actuarial concepts including IBNR. 4. ... lives.** Under the supervision of the Executive Director of Contract Finance, the Manager , Medical Economics will...documents, perform analysis and maintain databases. **As a health care organization, we have a responsibility to do everything… more
- Grifols Shared Services North America, Inc (Boston, MA)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- RTX Corporation (Marlborough, MA)
- …for a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace Come and discover an exciting opportunity at ... Collins Aerospace as we seek a Manager of Integrated Program Scheduling. Take the lead in...US citizens are authorized to access information under this program/ contract + Experience with Microsoft Project **Qualifications We Prefer**… more
- United Therapeutics (Boston, MA)
- …product pull-through and support Trade senior leadership with resolution actions with UTC Managed Care team + Support collaboration between UTC Departments and ... with a great understanding and appreciation of essential things like account management, contract negotiation, and data analytics. You want to work in an environment… more
- RTX Corporation (Marlborough, MA)
- …or Immigration Status Requirements:** **Security Clearance:** Secret - Current Raytheon Company, Managed by Collins Aerospace Are you ready for your next challenge? ... and Advanced Product Quality Planning (APQP) implementation. + Report on Program Contract On-Time Delivery (OTD) Performance for both CMC and non-CMC products. +… more
- Fresenius Medical Center (Waltham, MA)
- …interaction with patients. In addition, will interface with key stakeholders in Admissions, Managed Care and Insurance Coordinators. The VP of Revenue Cycle will ... the monthly close process of the Advantx and Medical Manager sub-systems and providing the accounting department with cash...+ Meets / reviews with Physician groups to review contract content. + Oversees centralized data base that holds… more
- The Cigna Group (Newton, MA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...and projects financial impact of provider contracts and alternate contract terms. + Creates "HCP" agreements that meet internal… more
- Harvard University (Cambridge, MA)
- …Building Automation Systems and work management systems desirable + Experience managing vendor/ contract relationships preferred. + Must be detail oriented and have a ... to prevent problems; troubleshoot; make recommendations to the Property Manager and Management as needed. + Perform various building...of paid leave for new parents who are primary care givers. + Health and Welfare: Comprehensive medical, dental,… more
- CVS Health (Boston, MA)
- …or relatable experience + 3 or more years of experience in health insurance, managed care , or prescription drug industry **Preferred Qualifications** + 2+ years' ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...company, on our multifaceted Underwriting team? As a Senior Manager in our Underwriting group you will utilize your… more
- Grifols Shared Services North America, Inc (Boston, MA)
- …area of practice. + Utilization of corporate resources including the Key Account Manager , Managed Markets, Marketing, MSL, etc. + Key Opinion Leader mapping ... and customer stakeholders to influence uptake for a new standard-of- care and product adoption in the treatment of their...(product portfolio). If a hospital does not have a contract or use a Grifols product, how to move… more
- WellSense (Boston, MA)
- …+ **4 or more years of progressively responsible experience in a managed care or healthcare environment. Experience with Behavioral Health providers ... with the development of training materials** + **Works collaboratively with the Manager of Behavioral Health Network Strategy to develop and update provider… more
- US Tech Solutions (Canton, MA)
- …management, case management or quality assurance preferred + Previous experience in a managed care setting desirable + Requires an individual with highly ... **Job Description** **Location: Remote** **Duration: 4 months contract (with possible extension)** Notes: Fully remote, MA...works under the general direction of the Precertification Team Manager or department Manager . The Clinical Reviewer… more