- WellSense (Boston, MA)
- …is responsible for the development, implementation and management of a cost -effective provider network, maintaining complex and geographically diverse contracts. ... . Excellent benefits **Key Functions/Responsibilities:** . Interprets environmental (policy, contract , landscape, organizational) changes with contracting and provider… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Alternative Quality Contract and pioneering incentives to reduce racial inequities in care . The Contract Leader works closely with the Associate Director of ... and quality incentive programs, as well as achieve unit cost trend targets. The Contract Leader is...Abilities) + Solid understanding of global, hospital and physician contract development; demonstrated negotiation of complex provider … more
- The Cigna Group (Newton, MA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Atrius Health (Newton, MA)
- … care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- The Cigna Group (Newton, MA)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- UMB Bank (Boston, MA)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Cayuse Holdings (Boston, MA)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- Commonwealth Care Alliance (Boston, MA)
- …of driving revenue growth and achieving sales targets. + Experience in health care provider and payors environment **Required Language (must have):** + English ... pressure. The lack of capacity and access to quality care and rising costs, coupled with increasing consumer expectations...strategic partners, both in the health payor and health provider space. Additionally, this seasoned leader will create a… more
- Highmark Health (Boston, MA)
- …years Experience working in an Actuarial Science capacity + 2 years Understanding of provider contract documents and overall contract management process + 1 ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Commonwealth Care Alliance (Boston, MA)
- …is under tremendous pressure. The lack of capacity and access to quality care and rising costs, coupled with increasing consumer expectations of on-demand services, ... have emphasized the need for innovative care delivery models that go beyond the traditional methods...The VP will identify/hire a strong outsourced partner to provide back-office finance and accounting functions at the right… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the Clinical Excellence Division to improve patient outcomes and minimize total cost of care by promoting high-value, evidence-based pharmacotherapy. This is ... and value-based contract performance. The scope and nature of patient care services are focused on optimizing patients' therapeutic outcomes, and includes active… more
- State of Massachusetts (Boston, MA)
- …and care programs support children's health and safety and provide high quality environments that are culturally responsive, inclusive, and support children's ... these areas. The Massachusetts Department of Early Education and Care (EEC) is an Agency within the Executive Office...of Procurement and Grants. They collaborate closely with EEC contract managers to develop contracts that align with EEC's… more
- Tufts Medicine (Boston, MA)
- …Center is a world-renowned academic medical center that has been providing exceptional care across New England for over two centuries. Our clinicians are dedicated ... to delivering innovative, patient-centered care every day, from our primary care ...coordination of research and other special funds financial operations, cost analysis, reimbursement, planning, regulatory compliance, and system administration… more
- Sedgwick (Boston, MA)
- …Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult contract surety bond claims; to provide resolution of highly complex ... Taking care of people is at the heart of...RESPONSIBILITIES** + Analyzes and processes complex or technically difficult contract surety (pay and performance) claims by investigating and… more
- CVS Health (Boston, MA)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... framework to make financial decisions to resolve provider issues. Explain provider 's rights and responsibilities in accordance with contract . + Process claim… more
- Burns & McDonnell (Newton, MA)
- …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
- Textron (Wilmington, MA)
- …source justification completion\. * Collaborate with Supply Chain buyers and Sub\- Contract and estimating team to develop outsourcing should\- cost analysis\. ... supplier/part manufacturing and sourcing plans with IPT \(Integrated Project Team\), including Sub\- contract and Buyers\. * Identify cost savings and cost… more
- Textron (Wilmington, MA)
- …\(TRR, TIM, PDR, CDR, etc\.\)\. * Collaborate with Supply Chain buyers and Sub\- Contract and estimating team to develop outsourcing should\- cost analysis\. * ... supplier/part manufacturing and sourcing plans with IPT \(Integrated Project Team\), including Sub\- contract and Buyers\. * Identify cost savings and cost… more
- City of Somerville (Somerville, MA)
- …locations, and managing the planning, procurement, and vehicle buildup processes to provide emergency and support vehicles for all City operations. Performs related ... and approval. + Coordinates equipment and personnel availability to provide services (eg, vehicle mechanical inspections, mechanical repairs, administrative… more
- RTX Corporation (Boston, MA)
- …+ Assist with the preparation and submission of BBN's annual Incurred Cost Proposal (detailed reports/schedules on the company's actual direct and indirect costs ... fiscal year). + Support audit activities and information requests with the Defense Contract Audit Agency (DCAA), Defense Contract Management Agency (DCMA), and… more