- Elevance Health (Wallingford, CT)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- The Cigna Group (Bloomfield, CT)
- …as needed. + Strong understanding of Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, ... a matrix organization + Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit… more
- Prime Therapeutics (Hartford, CT)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- The Cigna Group (Bloomfield, CT)
- …Plans. + Skills in provider network development and management, value-based care contract execution including risk sharing. + Strong strategic acumen, ... contract performance teams to rate renewal targets, unit cost and overall claim trend targets are met. +...Design innovative contract solutions such as measurement-based care , case rates or preferred provider networks,… more
- Prime Therapeutics (Hartford, CT)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- The Cigna Group (Bloomfield, CT)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Creates and/or oversees ... for the network solution. + Responsible for meeting unit cost targets, while preserving an adequate and marketable network,...experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team… more
- The Cigna Group (Bloomfield, CT)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners + Intimate understanding and experience with hospital, managed care , and provider business models + Team… more
- The Cigna Group (Bloomfield, CT)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- CVS Health (Hartford, CT)
- …intake process which includes audit and oversight of audit resources of all provider contract /credentialing materials received from provider , provider ... intake process which includes audit and oversight of audit resources of all provider contract /credentialing materials received from provider . Provider … more
- Elevance Health (Wallingford, CT)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- The Cigna Group (Bloomfield, CT)
- …or equivalent work experience; Master's degree preferred. + **5+ years experience in Provider Contract negotiations, required** + 8+ years of experience in ... WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a critical contributor to Cigna's enterprise… more
- CVS Health (Hartford, CT)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Constructs negotiation, execution,… more
- CVS Health (Hartford, CT)
- …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Prime Therapeutics (Hartford, CT)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... passion and drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this… more
- Humana (Hartford, CT)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and… more
- The Cigna Group (Bloomfield, CT)
- …support administrative, financial, and marketing objectives for clients. + Ensures that Payor contract terms and client provider data is loaded timely and ... projects (eg, new service rollouts, regulatory compliance initiatives,etc.) requiring contract content reviews, language compliance assessments and/or provider … more
- Option Care Health (Hartford, CT)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Hartford HealthCare (Hartford, CT)
- …the organization is supported through data and evidence-based evaluation of cost containment, utilization, standardization and contract compliance opportunities. ... leaders to develop sound business case by integrating multiple sources of data ( cost & clinical). Serves as a subject matter expert to promote and educate… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Associate (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=4406HC&R1=&R3=) to serve in a contract development and management role within the ... Associate position will serve as the program lead for coordinating and managing contract development and monitoring for the Tobacco Control Program. The Program is… more
- HomeSafe Alliance (Hartford, CT)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more