- CenterWell (Hartford, CT)
- …performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for Humana Health Horizons ... caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** Supports network teams in provider negotiations and financial risk for Commercial, Medicare, ... directly with network , provides current and relevant data to support provider negotiations. + Communicate network performance analysis to Market leaders,… more
- The Cigna Group (Bloomfield, CT)
- …integral member of the Network Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Northeast ... and IFP products. Works closely with Contracting , Network Solutions, Network Operations, Provider ...and upper management regarding status. + Work closely with Network Access Lead to support/ provide required analysis… more
- CVS Health (Hartford, CT)
- …with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role,...care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… 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 ... , medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via...regarding your assigned TPA(s). + Manage day to day provider operations, either direct or through network … more
- The Cigna Group (Bloomfield, CT)
- … network providers as part of Evernorth's national fee-for-service, fully-delegated network development and provider contracting efforts. + Lead ... and adequacy measures. + Effectively partner with actuarial, finance, provider contracting , and market teams to ensure all network modeling inputs yield… more
- SMX (Hartford, CT)
- …growth. + Excellent existing network presence in the government contracting industry including key relationships with senior customer decision makers, ... to maintain relationships with key government stakeholders, including agency officials, senior executives, program managers, and contracting officers. + Monitor… more
- The Cigna Group (Bloomfield, CT)
- …roll out new tool or application as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care ... As a **National Competitive Business Analytics Senior Advisor** , this highly technical and analytical resource's main focus is to deliver robust competitive unit… more
- Lumen (Hartford, CT)
- …Role** The Lead Category Manager oversees the strategy, sourcing, negotiation, and contracting of network equipment and embedded or controlling software ... installed within the Lumen network infrastructure, as well as the associated deployment maintenance and repair services. The Lead Category Manager is responsible for… 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
- Prime Therapeutics (Hartford, CT)
- …risk 20% + Develops and maintains a strong positive working relationship with Senior leadership in many areas, including Sales, Network Management, Trade ... It fuels our passion and drives every decision we make. **Job Posting Title** Senior Principal, Health Plans Underwriter - REMOTE **Job Description** The Senior … more
- Hartford HealthCare (Hartford, CT)
- …invite you to become part of Connecticut's most comprehensive healthcare network . Hartford HealthCare's unified culture enhances access, affordability, equity and ... hospital and trauma center, three community hospitals, a behavioral health network , a multispecialty physician group, a clinical care organization, a regional… more
- The Cigna Group (Bloomfield, CT)
- …to join our growing and dynamic Global Data & Analytics team as a Provider Contract & Network Underwriting Advisor for the Northeast Market's Team, specializing ... In this role, you will assist contractors in creating network solutions and provider contracts to ensure...dives into data as appropriate to support negotiation and provide value to our contracting partners +… 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 ... a direct-to-home medical supplies distributor, and (4) Velocare, a supply chain network and last-mile fulfillment solution capable of quickly reaching patients with… more
- Cardinal Health (Hartford, CT)
- …VP, Revenue and Payor Operations **Location** Nationwide, US **Position Summary** Senior executive leader responsible for leading all aspects of Navista's Physician ... members, and innovation + Develops and implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible… more
- CenterWell (Hartford, CT)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is… more
- Prime Therapeutics (Hartford, CT)
- …that have financial implications + Prepares materials and reports, and presents to Senior Leadership and Executive Leadership teams + Acts as a primary source of ... financial truth in legal contracting of new and existing clients, ensuring detailed contract...working relationship with leadership in many areas, including Sales, Network Management, Trade Relations, and Client Engagement, as well… more