- Commonwealth Care Alliance (Boston, MA)
- …of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network , with a focus on ... determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality … more
- Molina Healthcare (Boston, MA)
- **Job Description** **Job Summary** Sr. Analyst, Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, utilization management, and quality programs as they relate to provider satisfaction and network performance. * Experience with change management ... quality , compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Facilitate Communications Team in content creation as the subject matter expert for provider network + Maintain inventory of all provider communications ... all letters, emails and newsletters are compliant, uniform to CCA brand standards, and provider -friendly + Work with provider network and data management to… more
- CVS Health (Providence, RI)
- …Data Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working ... Provider Operations organization provides foundational operational / enabling support for provider partners and the Network teams that directly interact with… more
- Evolent (Providence, RI)
- …Strategic Account teams and payer clients to align priorities and deliver high- quality provider network engagement, performance reporting, and present ... territory. You will design and execute strategies that elevate provider performance, enhance care quality , and drive... experience advisory panels + Own market level engagement strategy and collaborate with provider engagement market… more
- Highmark Health (Providence, RI)
- …Act as subject matter expert with recommendations and data supporting development of network and sales strategy and support of leasing contract negotiation. ... Develop and maintain leasing revenue targets. Update network lease risk strategy in response to...continually improve the care and service to members and provide recommendations to internal customer supporting quality … more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting, the Senior Provider Contract ... ensure CCA members have superior access to the highest quality , cost-effective providers of healthcare services. Essential Duties &...Duties & Responsibilities: + Develop, negotiate, manage and maintain provider contracts for a set of provider … more
- Molina Healthcare (Boston, MA)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more
- Humana (Providence, RI)
- …experience in negotiating managed care contracts with physicians, hospitals and/or other provider contracts + 2+ years of network development and ... help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional 2 who initiates, negotiates, and executes physician, hospital, and… more
- IQVIA (Boston, MA)
- …Medical Affairs Strategy ** **Overview** IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services to the ... therapeutic and disease areas. This position resides within IQVIA's Medical Affairs Strategy & Excellence Team encourages a dynamic culture that values diversity of… more
- Meta (Providence, RI)
- …to improve efficiency and manage business risk, our team is accountable. We provide the services to manage network operations across data center, backbone, ... weight solutions in code 7. Data Measurement: As an operations practitioner supporting our network , you will be expected to drive quality into the metrics we… more
- Takeda Pharmaceuticals (Boston, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... therapies to patients worldwide. Join Takeda as Director, Global Regulatory Labeling Strategy where you will be responsible for the development and implementation of… more
- Lilly (Boston, MA)
- …Massachusetts. **The Position** The purpose of the Associate Director, Regulatory Strategy role is to support the development and implementation of innovative ... as assigned. In this role, you'll collaborate across teams to provide regulatory guidance, drive health authority interactions, and manage regulatory submissions.… more
- Publicis Groupe (Boston, MA)
- …Experiences by leveraging comprehensive data, technology, creative, media and strategy capabilities. Digitas delivers ambitious outcomes via unique solutions that ... US Campaign's Brand Experience Agency of the Year, Media Network of the Year and celebrated by Forrester and...an experienced and visionary Vice President, Group Director, Connections Strategy (CRM & Loyalty) to join our growing team.… more
- BioLife Plasma Services (Providence, RI)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... Limited, is an industry leader in the collection of high- quality plasma, which is processed into life-saving plasma-based therapies....at Takeda is seeking a Senior Manager of Pricing Strategy & Analytics. This role is critical for the… more
- Merck (Providence, RI)
- …Director of Device Product Assessment & Innovation (DPAI), the Director, Lead of Strategy for Device Product Assessment & Innovation will define and build strategic ... cross-functional processes that drive efficient, discovery facing innovations and decision-making strategy for all elements of early development. They will lead… more
- Point32Health (Canton, MA)
- …not-for-profit health and well-being organization dedicated to delivering high- quality , affordable healthcare. Serving nearly 2 million members, Point32Health ... on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around… more
- Highmark Health (Providence, RI)
- …centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) ... realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the ... data analysis, to ensure delegated entities meet contractual, regulatory, and quality standards that optimize member outcomes and operational efficiency. This… more