- CVS Health (Hartford, CT)
- …complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. ... outcomes, all while supporting cost-saving initiatives and the growth of the provider network . **Required Qualifications** + Negotiates, executes, and conducts… more
- Humana (Hartford, CT)
- …translated into letters and contract templates, developing internal and provider facing educational materials, managing non-standard language and financial terms ... Medicaid VBP contract development, operational set-up, and execution. The Value Based Contracting Lead requires in-depth understanding of VBP and the contracting … more
- CVS Health (Hartford, CT)
- … configurations and regulatory requirements. **Key Responsibilities:** + Collaborate with Network Contracting , Credentialing, Provider Data Services, IT, ... all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (eg, directory listings). Aligns policies… more
- CVS Health (Hartford, CT)
- …concepts + Excellent verbal and written communication skills Preferred Qualifications: + BIR/ Provider Solutions background + Network Contracting and/or SCM ... health care more personal, convenient and affordable. **Job Description:** The Senior Manager Project Management Contract Platforms position performs and oversees… more
- The Cigna Group (Bloomfield, CT)
- …focused on Competitive Unit Cost analysis and reporting in support of the Network Management and Affordability Provider Contracting organization, and their ... a project end to end overcoming challenges. + Functional expertise: Contracting , Negotiating, Provider Services, Financial Analysis, Project Management, Data… more
- CVS Health (Hartford, CT)
- …**Required Qualifications:** + Minimum 7 years work experience managing payer and/or provider contracting for fee for service and/or value-based contracting ... Manages and maintains relationships with payers by negotiating contracts, evaluating provider performance, resolving issues or disputes, identifying network … more
- The Cigna Group (Bloomfield, CT)
- **Role Summary:** The Local Market Affordability Senior Manager will closely interface with market Total Medical Cost teams, regional counterparts, Competitive ... and Health Care Trend Analytics tool enhancements. Understand local market network and product offerings, affordability drivers and reporting needs. Determine best… more
- Prime Therapeutics (Hartford, CT)
- …Medicare/Medicaid (eg insurance, government program operations, managed care practices, and/or provider contracting ) + Paralegal certification + Experience with ... PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for contract administration and ensuring process… more
- Highmark Health (Hartford, CT)
- …in health plan provider network performance management, care/case management, provider relations, provider contracting , etc. **Preferred** + MBA, MPH ... Serving as the interface between the various departments/data sources and the provider network (hospitals, health systems, ancillary services, primary care… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . The creation of the HHC System Support Office recognizes the work of ... practices across the system. *_Position Summary:_* This position supports the SVP of Contracting & Payer Relations and team. Position is primarily Monday - Friday,… more
- The Cigna Group (Bloomfield, CT)
- …drafting and negotiation of complex care management and value-based arrangements; network contracting , sales/broker contracting oversight and support; ... legal SLT; lead the business law team supporting Evernorth Health Services. + Provide strategic legal advice to senior leadership on enterprise-wide growth… more
- Evolent (Hartford, CT)
- …healthcare administration with strong emphasis in Provider Operations and/or Network Development/ Provider Contracting strategies + Excellent verbal, ... more connected care journey. We are hiring for a Senior Practice Performance Advisor to join our Provider...+ Meet with practice leadership regularly to share Evolent network performance results to help inform and drive volume… more