- The Cigna Group (Hartford, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Hartford, CT)
- …(Tues, Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an ... integral member of the Provider Contracting Team and reports to the...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- CVS Health (Hartford, CT)
- …methodologies. + Designs systems to recruit providers in support of network expansion and adequacy targets. + Integrates cross-functional collaboration to contribute ... to provider compensation and pricing development activities and recommendations for...and settlement activities. + Assists in the management of network development, maintenance, and refinement activities and strategies in… more
- Prime Therapeutics (Hartford, CT)
- …Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations is responsible for leading and managing a Provider ... and efficiency of customer service to members, providers and clients. The Manager of Provider Relations works in collaboration with leaders throughout… more
- CVS Health (Hartford, CT)
- …of provider networks as they pertain to Medicaid products ( contracting , adequacy, value-based payment models) + Previous Network experience **Education** ... and manage complex projects in support of Government Programs Network team's process, operations, and strategy as it relates...DSNP, CSNP, etc.) + Key concepts (high level) of provider networks as they pertain to Medicare Advantage products… more
- Elevance Health (Wallingford, CT)
- …Consultant** will provide analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** * Focuses ... improving the quality of care, and increasing member and provider network satisfaction. * Provides expert advice,...with high dollar cost savings opportunities. * Partners with provider contractors to develop contracting strategy and… more
- Sedgwick (Hartford, CT)
- …participation within the network ; and to expand and develop provider network . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Negotiates fee-for-service ... college or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent combination of… more
- Meta (Hartford, CT)
- …lead role to join our Design, Engineering & Construction (DEC) organization. As a Contract Manager , you will report to the Global Manager of the DEC Contracts ... team and be accountable to oversee all contracting for the project lifecycle of 3-5 data center...work across multiple functions/stakeholders as a trusted advisor.The Contract Manager will manage, optimize and administer a variety of… more
- CVS Health (Hartford, CT)
- …**Required Qualifications:** + Minimum 7 years work experience managing payer and/or provider contracting for fee for service and/or value-based contracting ... . + Experience working with multiple different payer and/or provider systems, including established network of payer contacts + Familiar with contract analytics,… more
- The Cigna Group (Bloomfield, CT)
- …Medical Executive (RME), Regional Growth Leader (RGL), Regional Finance Lead (RFL) and Network and Contracting RVP will work cross-functionally to identify new ... The Nurse Executive Sr Manager plays a key role in driving organizational...US Commercial Client Growth and Retention, Affordability and Value-Based Network Performance. Leadership includes ensuring team understanding of the… more
- The Cigna Group (Bloomfield, CT)
- **Role Summary:** The Local Market Affordability Senior Manager will closely interface with market Total Medical Cost teams, regional counterparts, Competitive ... and Health Care Trend Analytics tool enhancements. Understand local market network and product offerings, affordability drivers and reporting needs. Determine best… more
- The Cigna Group (Bloomfield, CT)
- …of readiness activities in preparation for milestone launches, coordinating across Provider Contracting , ENAC Operations, payer's operations teams, Technology, ... the enterprise in preparation for major business milestones (launch/expansion of the network , launch of claim pricing capabilities, launch of additional claim types… more
- Prime Therapeutics (Hartford, CT)
- …Medicare/Medicaid (eg insurance, government program operations, managed care practices, and/or provider contracting ) + Paralegal certification + Experience with ... and ability to adjust focus **Reporting Structure** + Reports to Supervisor or Manager in the Network Management department or Pharm Trade Relations department… more
- Cayuse Holdings (Hartford, CT)
- **Overview** **JOB TITLE:** Sr Microsoft 365 Project Manager **CAYUSE COMPANY:** Cayuse Commercial Services, LLC **LOCATION:** Remote **POSITION TYPE:** Contract ... **About Cayuse Commercial Services, LLC:** In addition to talent and resources, contracting with Cayuse provides a relationship that values inclusion and racial… more
- CVS Health (Hartford, CT)
- …with internal departments, including but not limited to: Finance, Medicare Operations, Network Management, Provider Contracting , and Health Economics, and ... CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team!...Risk Adjustment Analytics team! In this role you will provide complex analytics and reporting to support Medicaid Risk… more
- Cayuse Holdings (Hartford, CT)
- …**About Cayuse Commercial Services, LLC:** In addition to talent and resources, contracting with Cayuse provides a relationship that values inclusion and racial ... that we house our 40,000 square foot facility and Network Security Operations Center. We have additional satellite offices...proven track record of work experience as a project manager , system manager , or developer + Communication… more
- Hartford HealthCare (Middletown, CT)
- …We invite you to become part of Connecticut's most comprehensive healthcare network . Rushford Center, one of Connecticut's leading providers of addiction and mental ... this position are considered 'Essential Employees' and may be required to provide mandated shift coverage for programming needs. *Job Responsibilities* * Process and… more