- The Cigna Group (Bloomfield, CT)
- The **Regional Medicare ** ** Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team ... and reports to the Medicare Provider Contracting Regional Vice...direct reports. + Experience in developing and managing key provider relationships including senior executives. + Knowledge… more
- The Cigna Group (Bloomfield, CT)
- The ** Provider Contracting Senior Advisor** serves as an integral member of the Network Development and Strategy Team and reports to the Provider ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts on opportunities… more
- The Cigna Group (Bloomfield, CT)
- …WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a critical contributor to ... the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial...Contract negotiations, required** + 8+ years of experience in provider , client and customer relations, contracting or… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional communicates contract terms,… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... to all aspects of a Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution, contracting , claim payment,… more
- The Cigna Group (Bloomfield, CT)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies opportunities for greater… more
- Humana (Hartford, CT)
- …development + Leadership of approximately 250 associates focused in the areas of Provider Contracting , Provider Engagement and Quality, Risk Adjustment, ... for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the...Master's or JD degree + Record of success leading provider contracting and provider engagement… more
- The Cigna Group (Bloomfield, CT)
- …Commercial, IFP and Medicare Advantage products. Works closely with Contracting , Network Solutions, Network Operations, Provider Services, Sales and ... Development and Competitive Insights Team within Network Operations and Provider Contracting and reports to the Regional...market contact to be aligned with the project. + Provide analytic and reporting support for regional provider… more
- Humana (Hartford, CT)
- …as part of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy ... CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This position requires significant ... to questions and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the Health Care ... teams (sales, strategy, product, marketing, finance, actuarial, clinical, sales operations, contracting , partner success, etc.) to deliver top notch sales enablement… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve moderately complex...Professional works as liaison between vendors, internal business owners, contracting , risk, and compliance teams. As part of the… more
- The Cigna Group (Bloomfield, CT)
- …support. + Explain both proposed projections and results relative to expectations to senior leadership. Provide insights on actionable takeaways. + Guide the ... The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid… more
- Cardinal Health (Hartford, CT)
- …Managed Care contributes to practice growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject ... regarding managed care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts… more
- CVS Health (Hartford, CT)
- …role **Preferred Qualifications** + Knowledge of key managed care functions including provider contracting , benefit design, medical management as well as ... all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid). This position will support a wide range of… more