- 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 (Providence, RI)
- …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
- 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
- UMB Bank (Providence, RI)
- …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 (Providence, RI)
- …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
- Amgen (West Greenwich, RI)
- …or engineering industry, focusing on project controls such as funding, estimating, cost management, scheduling, and contract strategy. + A minimum of ... lives of patients while transforming your career. **Project Controls Senior Manager Cost Management/Estimating** **What you will do** Let's do this. Let's change the… 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 (Providence, RI)
- …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
- Point32Health (Canton, MA)
- … - financial, legal, and operational with emphasis on implementation of contract terms + Detailed understanding of health care reimbursement methodologies ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… 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 (Providence, RI)
- …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 (Providence, RI)
- …+ 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
- Abbott (Boston, MA)
- … contract value and efficient implementations/training + Account Management/Customer Care + Leadership and self-development + Effectively manage assigned budget ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...On** + Developing and implementing, cross divisional initiatives and contract development + Assess business impact of contracting opportunities… more
- Beth Israel Lahey Health (Boston, MA)
- … care in a manner that also incorporates the principles of patient satisfaction and cost effective care . + As a member of the medical team, will share the ... join its large group of providers, participating in clinical care , with some opportunity for research, and teaching if...practices + Has obtained or is eligible to obtain provider numbers from insurance carriers that currently contract… more
- State of Massachusetts (Boston, MA)
- …services help economically and socially disadvantaged patients to get high quality, cost -effective care from a staff that respects their dignity. Located ... expiring contracts and responds to request for new services * Analyze contract proposals and related documents to determine compliance with established criteria and… more
- State of Massachusetts (Boston, MA)
- …and submit reports and documentation related to project progress. * Supervise various Contract Personnel per project, provide guidance and advice to project ... square feet of state buildings. As an agency, we care for the people of our state and the...the need for adjustments to the electrical preventive maintenance contract specifications, upgrades, replacement and repairs. * Inspect building… more
- Parsons Corporation (Boston, MA)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... methods to accomplish them, develop in-depth knowledge of client objectives, contract terms and corporate policies. Parsons' extensive experience in this field,… more