- Elevance Health (Manchester, NH)
- ** 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 (Manchester, NH)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Point32Health (NH)
- …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
- Elevance Health (Manchester, NH)
- … 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
- CVS Health (Concord, NH)
- …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
- Humana (Concord, NH)
- …completes a review that includes a full analysis of the medication care plan, investigation of overall utilization, and identification of unusual usage patterns. ... Intervenes and advises patients and providers to promote cost effective utilization and quality patient outcomes, as needed. Understands department, segment, and… more
- HomeSafe Alliance (Concord, NH)
- …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
- IMSolutions, LLC (Concord, NH)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- CVS Health (Concord, NH)
- …of Aetna's Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible ... + Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost -of- care strategy. + Solid focus on data analytics to identify … more
- Mercury Systems (Hudson, NH)
- …of a world-class team in our Processing Technologies Business Unit, a leading provider of dense, rugged, secure compute solutions for next generation aerospace and ... schedules and estimates * Execute programs to scope, schedule, cost , and quality over their full lifecycle, by internal...to prevent adverse effects, and escalate issues promptly * Provide details of resources required for successful execution of… more
- Huron Consulting Group (Concord, NH)
- …clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services ... within a consulting firm setting with a focus on cost of care , workforce management, and/or supply...+ Negotiate with vendors to achieve better pricing and contract terms + Implement inventory management strategies to reduce… more
- Humana (Concord, NH)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... to (suggest: review inpatient hospital claims for proper reimbursement) handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Elevance Health (Manchester, NH)
- …programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Sedgwick (Concord, NH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Intermountain Health (Concord, NH)
- …case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies, ... regulatory compliance tracking. Leads the dispute resolution process on contract items and ensures a high level of ...sourcing and / or category management within the health care industry. - and - Healthcare product knowledge **Physical… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …responsible for: Strategic planning to ensure the provision of high-quality, cost -effective mental health services. Developing and implementing short- and long-term ... goals and objectives consistent with the health care system strategic plans. Ensuring compliance with accrediting and regulatory agencies as well as monitoring key… more
- Sedgwick (Concord, NH)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Humana (Concord, NH)
- …of our caring community and help us put health first** Our Government Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database ... and effectively allocate/reallocate database resources for optimal configuration, performance, and cost . + Support multiple services and multiple databases of medium… more
- Elevance Health (Manchester, NH)
- …technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . Reporting to the VP and GM of CarelonRx's Advanced Home Delivery ... as call centers and reporting teams. Track software licenses and optimize cost -efficiency to drive operational gain growth via cost -to-fill metrics, ensuring… more
- Mitsubishi Chemical Group (Concord, NH)
- …at the very heart of why we are in business. We will continue to provide solutions for the issues of society consistent with the aims of the international ... portfolio for the regional organization, enabling the most reliable and cost -effective purchasing experience possible in North America (leveraging economies of… more