- CVS Health (Hartford, CT)
- …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... Summary** Aetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will...Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market… more
- The Cigna Group (Hartford, CT)
- **The Cigna Group Sales and Contracting Development Program** ** Network Contracting Analyst** **Start Date July 14, 2025** It's fun to work in a company ... Group's Sales and Contracting Development Program provides professional development for the ** Network Contractor** role among early-career employees. Our… more
- The Cigna Group (Bloomfield, CT)
- …direction of assigned markets and is accountable for the management of value -based and fee-for-service contracting and network management activities ... Contracting Senior Managers** serves as an integral member of the Network Development and Solutions Team, supporting the Northeast Region. This role… more
- The Cigna Group (Bloomfield, CT)
- …direction and is accountable for the management of the fee for service and value based contracting and network management activities for multiple local ... The **Provider Contracting Senior Advisor** serves as an integral member...value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and… more
- The Cigna Group (Bloomfield, CT)
- …Medicare, Medicaid and or Individual and Family Plans. + Skills in provider network development and management, value -based care contract execution including ... projects related but not limited to implementation of strategic initiatives regarding Network Solutions and Innovative Contracting to enhance provider supply and… more
- Prime Therapeutics (Hartford, CT)
- …strategies and compliant with Network Management policies + Create and manage network contracting campaigns with network vendor; analyze information and ... or Network Client Services initiatives + Perform network development , network analysis and...years of managed care experience in medical or pharmacy network contracting + Must be eligible to… more
- The Cigna Group (Bloomfield, CT)
- …execution of overall strategy for provider contracting , network development and identification of opportunities for greater value -based and risk ... Lead for IFP. This role will be accountable for the strategic direction of IFP contracting and network management activities in a local geography and will also… more
- CVS Health (Hartford, CT)
- …close gaps and maximize the provider network . Lead a team of Network Development Auditors responsible for reviewing and assessing provider contracting ... of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. Manages provider contracting intake… more
- CVS Health (Hartford, CT)
- …support local market network teams on implementation and administration of Value Based Contracting (VBC) agreements. The Medical Economics Senior Analyst is ... of markets and deals, working collaboratively with negotiators and Network managers as well as Value Based...years in the managed care industry with exposure to value -based contracting 1 or more years of… more
- The Cigna Group (Bloomfield, CT)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital… more
- Option Care Health (Hartford, CT)
- …VP, Regional Market Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United States. This includes ... developing and maintaining relationships in Medical, Policy, Pharmacy, and Network provider departments within key accounts, developing innovative payment approaches… more
- CVS Health (Hartford, CT)
- …Electronic Funds Transfer + Network and Provider data management; Network Contracting & Pricing + Member eligibility/enrollment + Customer Billing, ... at CVS Health, you will be responsible for the analysis, design, development , and deployment of critical integrated system releases. The Mainframe Developer is… more
- The Cigna Group (Bloomfield, CT)
- …will directly** **impact** **business outcomes and earning results?** If you're looking to add value , make an impact, and use strong analytical and math skills in a ... change in formulary request, evaluating a change in retail network or retail arrangement requests, evaluating a change in...a potential financial impact. + Provide support related to contracting process and install process for renewing and new… more
- CVS Health (Hartford, CT)
- …Qualifications** + 3-5 years of experience working in managed healthcare contracting , network management, or supporting roles. **Preferred Qualifications** + ... day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee,...IT role._** + As a key member of the Network team, applies in-depth knowledge of health care provider… more
- Prime Therapeutics (Hartford, CT)
- …with all areas of the Prime Therapeutics organization to coordinate network management and network administration responsibilities and facilitates resolution ... position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description** + Serves as the… more
- The Cigna Group (Bloomfield, CT)
- …LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a critical contributor to Cigna's enterprise ... strategic level engaging **directly with Senior Leadership from Legal, Compliance, Network , Product, Clinical and Strategic Sourcing; and is** responsible for… more
- Prime Therapeutics (Hartford, CT)
- …with all areas of the Prime Therapeutics organization to coordinate network management and network administration responsibilities and facilitates resolution ... position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description** + Serves as the… more
- Humana (Hartford, CT)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development , and contract/payer relations. This design ... Fellows report directly to Joel Port, SVP, Business and Network Development . **Sample projects:** + Analyzes quality...+ Develops a health equity strategy to update existing value -based contracting principles + Designs a social… more
- CVS Health (Hartford, CT)
- …Electronic Funds Transfer + Network and Provider data management; Network Contracting & Pricing + Member eligibility/enrollment + Customer Billing, ... at CVS Health, you will be responsible for the analysis, design, development , and deployment of critical integrated system releases. The Mainframe Developer is… more
- The Cigna Group (Bloomfield, CT)
- …provider groups engaged via a professional capitation, risk/surplus sharing, or other value -based arrangement (VBA). This includes development and coding of ... to a variety of stakeholders for proposed updates (such as Accounting, Network Operations, Analytics, Medical Economics, etc.). **Responsibilities** + Act as model… more