- CenterWell (Hartford, CT)
- …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 (Hartford, CT)
- …and help us put health first** Humana Healthy Horizons is seeking a Provider Contracting Professional who initiates, negotiates, and executes physician, ... provider contracts and agreements related to Medicaid health plans. The Provider Contracting Professional work assignments are varied and frequently… more
- Humana (Hartford, CT)
- …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
- Lumen (Hartford, CT)
- …future. **The Role** The Category Manager oversees the sourcing, negotiation, and contracting of outsourced professional services and goods that are incorporated ... drive savings via RFPs, negotiations, demand management, value engineering, etc. ** Contracting ** Manage contracts and assist with "handing off" tactical contracts to… more
- CVS Health (Hartford, CT)
- …to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. + ... + Understanding of Medicare & Commercial. + Proven working knowledge of provider financial issues and competitor strategies, complex contracting options,… more
- The Cigna Group (Bloomfield, CT)
- …for pharmacy utilization management and the coordination of rebate contracting efforts to ensure alignment across formulary, utilization management, SafeGuard, ... and ensure alignment with clinical guidance within our trend solutions and contracting efforts. Meet with clinical leadership and SMEs to support efforts to… more
- CenterWell (Hartford, CT)
- …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
- The Cigna Group (Bloomfield, CT)
- …The **Contractor, Provider Network Management** serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Cognizant (Hartford, CT)
- …Technology Solutions (NASDAQ: CTSH) is one of the world's leading professional services companies, redefining customers' business, operating, and technology models ... and uniquely address those needs with our solutions. We provide mentoring where you will connect with peers and...+ Assist in managing account budget, financial performance, and contracting and ensuring forecast and pipeline accuracy + Demonstrate… more
- Lumen (Hartford, CT)
- …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 (Hartford, CT)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working… more
- Lumen (Hartford, CT)
- …Role** The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of highly complex indirect goods and services. Contributes to the ... manage Lumen's "Tier 1" vendors, who are our largest and most visible professional services partners. You will monitor market trends, analyze spend data, define… more
- Highmark Health (Hartford, CT)
- … 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
- Humana (Hartford, CT)
- …community and help us put health first** The Senior Procurement Professional generates and implements efficient sourcing and category management strategies. Manages ... company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to complex issues where… more
- Bausch + Lomb (Springfield, MA)
- …leading the advancement of eye health in the future. The Senior Manager, Professional Strategy will help create and deploy strategic plans to cultivate solid ... with Key Opinion Leaders (KOLs), key accounts, educational institutions, and professional associations, in support of the Bausch & Lomb Pharmaceutical business.… more
- CVS Health (Hartford, CT)
- …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 (Hartford, CT)
- …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 (Hartford, CT)
- …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
- Lumen (Hartford, CT)
- …The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of network equipment and embedded or controlling software installed within ... savings via RFPs, negotiations, demand management, value engineering, etc. ** Contracting ** Manage high-complexity contracts and assist with "handing off" tactical… more
- CenterWell (Hartford, CT)
- …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