- Elevance Health (Smithfield, RI)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Sedgwick (Providence, RI)
- …ancillary provider contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...quality program(s). **QUALIFICATIONS** **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- GE Vernova (Foxborough, MA)
- **Job Description Summary** Job Description Summary The Contract Manager will provide broad-based and thorough commercial contract management support to the ... Energy business, serves customers globally with over 12,000 employees. We provide power utilities and industries worldwide with equipment, systems, and services… more
- Boys Town (Providence, RI)
- …on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider . We help our employees ... providing youth and families with therapeutic services. + Attends contract meetings and communicates the special qualities of Boys...into one of the largest national child and family care organizations in the country. With the addition of… more
- Liberty Utilities (Fall River, MA)
- …and as an employee team. As the successful candidate Our Mission We provide safe, secure, reliable, cost -effective and sustainable energy and water solutions. ... Lead, Environment (6 month contract ) Tyler, TX, US, 75703Ozark, MO, US, 65721Forsyth,...56159 **At** **Algonquin-Liberty** **, we hire passionate people who care about doing the right thing for our customers.… more
- Boys Town (Portsmouth, RI)
- …+ Must be able to demonstrate the knowledge and skills necessary to provide care , based on physical, psychological, psycho/social, educational, safety, and ... Provides direct care for at-risk youth in a safe and...Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider… more
- HomeSafe Alliance (Providence, RI)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more
- IMSolutions, LLC (Providence, RI)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Humana (Providence, RI)
- …The Service Fund Senior Value-Based Programs Analyst supports our Market and Provider partners through ensuring Provider payments and settlements are complete, ... of value-based contracts + Supports the markets in all value-based contract administration strategies and supports implementation of those strategies through regular… more
- Boys Town (Portsmouth, RI)
- …your job as a Family Teacher. Together each of you will be part of a team that provide care and guidance to boys and girls in need. $20,000 HIRING BONUS! up to ... able to demonstrate the knowledge and skills necessary to provide care , based on physical, psychological, psycho/social,...Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider… more
- Prime Therapeutics (Providence, RI)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Providence, RI)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client`s program(s). Requires communication across ... responsible to serve as the clinical liaison for assigned contract (s). Manages overall client relationship. Participates in the development...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Amentum (Providence, RI)
- …for union employee benefits and analyzes union benefits demands. Obtains and prepares cost data for company and union proposals and final settlements. + Process ... reports such as benefits utilization, trend analysis, claims, fees, and provider performance evaluations + Assists in administration of benefits enrollment process,… more
- Elevance Health (Smithfield, RI)
- …programs._ The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Sedgwick (Providence, RI)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Humana (Providence, RI)
- …with vendors, ensuring optimal pricing and alignment with IT standards. + ** Contract and License Management:** Reviews and manages licenses and contracts to ... technology solutions, and collaborates with internal business partners to develop cost -effective strategies that are aligned with business objectives. Leads the… more
- Sedgwick (Providence, RI)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Humana (Providence, RI)
- …The position analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The ... budgeting as well. Provides input into functions strategy. + Provide market specific financial leadership in the state Medicaid...short- and long-term plan objectives + Responsible for identifying cost trends and leadership of cost improvement… more
- IMSolutions, LLC (Providence, RI)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more
- Cadmus (Providence, RI)
- …/ estimates to completion (EACs / ETCs) for multiple projects of varying contract type, size, complexity, and risk level. They will work closely with project ... managers to provide recommendations on managing project financials and support financial...the natural world. We offer competitive compensation, outstanding health care and retirement benefits, a vibrant and collaborative work… more