- Elevance Health (Morristown, NJ)
- …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
- Novo Nordisk (Plainsboro, NJ)
- …the most diverse and collaborative groups within the organization. From health- care - provider interactions and developing and implementing regulatory strategies ... experience in budget and contract negotiations with clear understanding/impact of contract and financial schedules, (ie cost benefit analysis, ROI, KPI,… more
- City of New York (New York, NY)
- …- Ensure that signed contracts are communicated to all relevant parties to provide contract visibility and awareness. - Develop and implement procedures for ... PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF ADMINISTRATIVE CONTRACT SPECIALIST. The Administration for Children's Services (ACS) protects and promotes… more
- Molina Healthcare (Manhattan, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- City of New York (New York, NY)
- …through the review and analysis of standard reporting documents, to ensure contract compliance. - Provide technical assistance to the contractor, respond ... select vocational goals and receive support. Other HASA's services include home care and homemaking services, mental health and substance abuse screening and… more
- BlackRock (New York, NY)
- …lead regular business and performance reviews with key providers + Support index provider negotiations to achieve cost savings and strategic benefits _Skills:_ + ... **About this role** **Vice President, Global Index Provider Strategy |** **Global Product Solutions** **About this role** The Global Product Solutions (GPS)… more
- Weill Cornell Medical College (New York, NY)
- …practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, ... Title: Subawards Manager - Contract Negotiation Location: Midtown Org Unit: Contracts Work...Act in the capacity of subject matter expert to provide staff w/guidance on and interpretation of Federal, State,… more
- VNS Health (Manhattan, NY)
- …What You Will Do + Assists the Manager in analyzing and validating managed care claims and comp grids against provider contracts, member eligibility, benefit ... data across health plans in support of ensuring payment integrity and cost containment. Identifies anomalous utilization patterns, investigates cost containment,… more
- Northwell Health (New York, NY)
- …mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care , as appropriate; + Assesses level of pain and pain management; + ... Communicates/documents patient's physiologic health status and plan of care . 2. Assesses patient's psychosocial health status + Elicits perception of medical/nursing… more
- PSEG (Newark, NJ)
- …processes adherence and quality for variance analysis, forecasting as well as a comprehensive cost workbook. Review contract controller work as well as assist in ... experience to our more than 12,000 employees - we provide the resources and opportunities for career development that...500 company, as well as the attention, camaraderie, and care for one another you might typically associate with… more
- Hackensack Meridian Health (Edison, NJ)
- …includes: + ** Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its entities (hospitals, wholly owned ... provide executive oversight for all aspects of managed care contracting, including fee-for-service and value-based arrangements, driving innovation in payment… more
- Centene Corporation (New York, NY)
- …(including behavioral health, and social needs) to provide quality, cost -effective healthcare outcomes. Develops a personalized care plan/service plan as ... as appropriate, between the member and/or family and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + May precept clinical new hires by… more
- Penn Medicine (Princeton, NJ)
- …indicators, eg clinicians productivity, access to care , end to end contract lifecycle, credentialing of our affiliated provider network, and overall ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- RWJBarnabas Health (West Orange, NJ)
- …Negotiate all commercial (and in some cases technical) aspects of purchases. Provide purchase recommendations based on cost , quality, and delivery. ... 95 Old Short Hills Road, West Orange, NJ 07052 Job Overview: The Capital Contract Manager ( CCM ) is responsible for the strategic and tactical development and… more
- Mount Sinai Health System (New York, NY)
- …of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront… more
- Burns & McDonnell (Morristown, NJ)
- …for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, ... the successful execution of a single or multiple project simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost … more
- RWJBarnabas Health (Elizabeth, NJ)
- …+ Function as primary manager and liaison with regard to our department grant/ contract (non-managed care ) business + Support compliance with grant/ contract ... particularly in the use of Excel and various Grant Provider reporting systems + Grant negotiation experience Scheduling Requirements:...9:00 am 5:00 pm Essential Functions: + Ensure that contract reporting system is in place and operating for… more
- Sanofi Group (Bridgewater, NJ)
- …and Covid Vaccines, recommending product price increase and GTNs, innovative contract platforms across medical segments to optimize short and long-term business ... This person will be responsible for developing the pricing strategy from contract price, rebates, returns provisions and performance measurements for all products… more
- Merck (Rahway, NJ)
- …one or more projects. These opportunities in our **Global Support Functions** Division can provide you with great development and a chance to see if we are the ... Our company in the United States and Canada, is a global health care leader with a diversified portfolio of prescription medicines, vaccines, and animal health… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... (for both US and Global), from Request for Proposal (RFP) to final contract . This position has direct oversight and accountability of Category leads to drive… more