• Manager , Provider Contracting

    The Cigna Group (Hartford, CT)
    …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
    The Cigna Group (11/23/24)
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  • Manager , Provider Contracting

    The Cigna Group (Hartford, CT)
    …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** serves as an integral member ... the strategic direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND… more
    The Cigna Group (11/23/24)
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  • Manager Network Contracting

    CVS Health (Hartford, CT)
    …methodologies. + Designs systems to recruit providers in support of network expansion and adequacy targets. + Integrates cross-functional collaboration to contribute ... initiatives and settlement activities. + Assists in the management of network development, maintenance, and refinement activities and strategies in support of… more
    CVS Health (12/11/24)
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  • Contracts Manager , Data Center Design…

    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
    Meta (12/20/24)
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  • Senior Manager , Payer Relations

    CVS Health (Hartford, CT)
    …make health care more personal, convenient and affordable. **Position Summary** Leading contracting efforts under the Retail Health division of CVS Health, the ... Senior Manager , Payer Relations manages and optimizes relationships with payers...Minimum 7 years work experience managing payer and/or provider contracting for fee for service and/or value-based contracting more
    CVS Health (12/11/24)
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  • Provider Delegation Implementation Senior Project…

    CVS Health (Hartford, CT)
    …(high level) of provider networks as they pertain to Medicaid products ( contracting , adequacy, value-based payment models) + Previous Network experience ... position will oversee and manage complex projects in support of Government Programs Network team's process, operations, and strategy as it relates to alignment with… more
    CVS Health (12/18/24)
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  • Contract Manager

    Sedgwick (Hartford, CT)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Contract Manager **PRIMARY PURPOSE** **:** To negotiate fee-for-service hospital and medical ... of business in managed care markets; to maintain provider participation within the network ; and to expand and develop provider network . **ESSENTIAL FUNCTIONS and… more
    Sedgwick (12/18/24)
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  • Provider Relations Manager - Remote

    Prime Therapeutics (Hartford, CT)
    …passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations is ... and efficiency of customer service to members, providers and clients. The Manager of Provider Relations works in collaboration with leaders throughout the… more
    Prime Therapeutics (12/18/24)
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  • RN Clinical Program Sr Manager

    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 (10/25/24)
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  • Sr Microsoft 365 Project Manager

    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
    Cayuse Holdings (10/31/24)
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  • Local Market Affordability Senior Manager

    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 (12/11/24)
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  • Operations Senior Project Manager

    The Cigna Group (Bloomfield, CT)
    …the enterprise in preparation for major business milestones (launch/expansion of the network , launch of claim pricing capabilities, launch of additional claim types ... and value based payment models, etc). The Senior Project Manager , as a member of the Evernorth Accountable Care Operations team, will be responsible for overseeing… more
    The Cigna Group (12/24/24)
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  • PBM Contract Representative Sr - LA Medicaid

    Prime Therapeutics (Hartford, CT)
    …and ability to adjust focus **Reporting Structure** + Reports to Supervisor or Manager in the Network Management department or Pharm Trade Relations department ... contract administration and ensuring process adherence in support of Prime's contracting efforts with Louisiana Medicaid PBM business. This position is responsible… more
    Prime Therapeutics (12/19/24)
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  • Provider Contract/Cost of Care Consultant

    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 efforts on ... costs, improving the quality of care, and increasing member and provider network satisfaction. * Provides expert advice, analytic and consultative support to Medical… more
    Elevance Health (12/12/24)
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  • Technical Architect (Remote)

    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
    Cayuse Holdings (11/22/24)
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  • Openlink Endur ETRM Solutions Architect

    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 ... It is here that we house our 40,000 square foot facility and Network Security Operations Center. We have additional satellite offices in Honolulu, Hawaii, and… more
    Cayuse Holdings (11/21/24)
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  • Informatics Manager -1

    CVS Health (Hartford, CT)
    …internal departments, including but not limited to: Finance, Medicare Operations, Network Management, Provider Contracting , and Health Economics, and external ... of our office locations. CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role you will… more
    CVS Health (11/14/24)
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  • Director of Business Development - Defense…

    IDEX (Farmington, CT)
    **Job Title** : Director, Business Development - Defense Programs **Hiring Manager ** : Sean Kane, GM, Aerospace & Defense and VP, Business Development **Job ... A successful candidate is expected to have: 1. Deep network within the Defense Prime OEMs and Department of...DoD and defense prime landscape and knowledge of Government contracting (eg, DoD acquisition process) and current acquisition trends… more
    IDEX (12/04/24)
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  • Lead Medical Navigator - Acute Care Evaluation…

    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 ... * Serve as a liaison between Rushford and outside contracting services, providing prompt service for all requests. *...Assumes other leadership responsibilities and initiatives as directed by manager including but not limited to: assisting in the… more
    Hartford HealthCare (11/12/24)
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