- CVS Health (Trenton, NJ)
- …formulate, and implements the provider network strategic plans to achieve value -based contracting targets and manage medical costs through effective value ... based provider agreements. + In charge of complete value based contracting cycle from planning, creating...Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3… more
- CVS Health (Trenton, NJ)
- …Senior Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider ... VBC strategies are executed timely. . Perform market competitive analysis, engage contracting and clinical teams to create innovative value -based payment… more
- The Cigna Group (Conshohocken, PA)
- …in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES ... complex contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries,… more
- Humana (Trenton, NJ)
- …Professional drives network optimization and value through managing network contracting governance, process development , and data governance for ... + Drives network optimization and value through network contracting governance, process development , and data governance Ohio Medicaid, including… more
- Health Care Service Corporation (Philadelphia, PA)
- …or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value based contracting , etc). The individual in this role ... and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. **Job Summary**… more
- Humana (Trenton, NJ)
- …dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **HireVue** As ... caring community and help us put health first** The Value Based Market Support Senior Professional is responsible for...questions on VBP models + Facilitate annual trainings for contracting , PR, PE, and other market staff on upcoming… more
- Cardinal Health (Trenton, NJ)
- …segmentation, financial profit pool modeling, and executed value -based care contracting frameworks + Robust network of strong, existing professional ... be focused on expanding the organization's strategic footprint and influence in value -based care contracting . Functioning as a strategic hunter, this Director… more
- Highmark Health (Trenton, NJ)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value -based reimbursement, through managed care contracting , provider reimbursement, ... incumbent will work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the introduction and delivery… more
- Penn Medicine (Philadelphia, PA)
- …contract award and implementation. The Contract Manager leads vendor negotiations, supports Value Analysis and has knowledge of contract to ensure compliance with ... all hospital, regulatory, and legal guidelines regarding contracting and conducts efficient interactions with the Legal team....to expiration of current agreement. + Assists in the development and implementation of new processes and metrics +… more
- Cardinal Health (Trenton, NJ)
- …regular strategic development sessions focused on advanced negotiation tactics, value -based contracting complexities, and deep market analysis to continually ... Comprehensive understanding of the evolving managed care landscape and the impact of value -based care models + Robust network of strong, existing professional… more
- The Cigna Group (Philadelphia, PA)
- … operations of PBM + Lead team of attorneys responsible for supporting rebate, formulary development , and value based solutions business units of PBM + Act as ... leading a team of attorneys responsible for the pharmacy network and pharma strategy business units of the Company's...lead counsel regarding PBM product development strategy and support + Advise on complex matters… more
- CVS Health (Trenton, NJ)
- …Functional areas may include operations, sales, marketing, provider relations, network development , utilization management, and/or STARS/HEDIS quality ... required. + Knowledge of insurance regulatory and contractual requirements. + Knowledge of value based provider contracting . + Knowledge of current health care… more
- Deloitte (Philadelphia, PA)
- …data management and analytics that help legal departments maximize the strategic value to the organization. You will deliver services for companies that streamline ... and Deloitte overall. Maintain relationships and serve clients holistically. + People Development : Participate in the development of team members. + Business… more
- Deloitte (Philadelphia, PA)
- …all aspects of the full project life cycle. The EFA team's greatest value is in the understanding and application of engagement business and financial processes, ... and risk management + Contribute to the growth and development of the overall EFA team through participation in...or more practice initiatives + Connect with your support network (Manager, Coach and On Boarding Advisor) on a… more
- AECOM (Philadelphia, PA)
- …Build water and wastewater projects as well as take a leadership role in the development and capture of upcoming design build pursuits. It is desirable that the DB ... the project, including EAC analysis during on-site construction as prime contracting entity. Demonstration of strong commercial and construction contract experience… more