- Elevance Health (Wallingford, CT)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Wallingford, CT)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… 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
- Sedgwick (Hartford, CT)
- …ancillary provider contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...quality program(s). **QUALIFICATIONS** **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… 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
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *Overview:* The Contract Administrator partners with our physician, clinical and business stakeholders, using ... profiles, determine sourcing strategies * Develops RFI/RFP documents, looks at total cost of ownership, and negotiates contracts including content and terms, for… more
- Baystate Health (Springfield, MA)
- …multispecialty group in the region is looking for an experience **RN, Provider ** **Clinical Compliance Auditor** to join the Baystate Medical Practice Revenue ... RI, VT, )** Under the direct supervision of the Manager, the **RN, Provider ** **Clinical Compliance Auditor** for Baystate Medical Practices, reviews and responds to… more
- Liberty Utilities (Windsor Locks, CT)
- …and as an employee team. As the successful candidate Our Mission We provide safe, secure, reliable, cost -effective and sustainable energy and water solutions. ... Lead, Environment (6 month contract ) Tyler, TX, US, 75703Ozark, MO, US, 65721Forsyth,...56159 **At** **Algonquin-Liberty** **, we hire passionate people who care about doing the right thing for our customers.… more
- Hartford HealthCare (Hartford, CT)
- …system working with Revenue Cycle, Revenue Integrity and other HHC entities to provide updates and clarification on contract rate renewals and interpretation. ... role will act as the first line resource for contract related inquiries and escalate issues as appropriate. Ensure...on designated key committees and task forces relating to provider contracting and payer relations within HHC. *_Requirements and… 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
- IMSolutions, LLC (Hartford, CT)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Burns & McDonnell (Wallingford, CT)
- …for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, ... the successful execution of a single or multiple project simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost … more
- The Cigna Group (Bloomfield, CT)
- …ancillary programs and internal cross organizational areas + Previous experience in Provider Contract negotiations highly desired + Previous experience in ... national ancillary relationships representing over 40% of Cigna's total medical cost savings. The **NANPM Medicare Senior Advisor** is responsible for negotiating… more
- Humana (Hartford, CT)
- …The Service Fund Senior Value-Based Programs Analyst supports our Market and Provider partners through ensuring Provider payments and settlements are complete, ... of value-based contracts + Supports the markets in all value-based contract administration strategies and supports implementation of those strategies through regular… more
- Prime Therapeutics (Hartford, CT)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... 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… more
- Burns & McDonnell (Wallingford, CT)
- …required. + Manage internal project financials, providing detailed, accurate project cost forecasts and accruals to client(s) and internal organization leadership. + ... teams, coordinate activities of multiple disciplines, and ensure the efficient, cost -effective utilization of staff. + Manage all aspects of project communication.… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …for this grant that supports implementation of accountability targets for an all-payer total cost of care model including hospital global budgets and primary ... with strategic goals and compliance with federal and state guidelines. + Provide strategic direction and leadership to the project team. Set clear objectives,… more
- Baystate Health (Springfield, MA)
- …and so much more! Baystate Health, western Massachusetts' only academic center and tertiary care provider has a long and proud tradition of continuous learning ... evaluates, treats and follows up clients on an inpatient, outpatient, homecare and contract basis as assigned. 2) Provides age-appropriate care to patients.… more
- RTX Corporation (Windsor Locks, CT)
- …primary contact to internal customers; employs business acumen and experience to provide market knowledge, supply chain solutions, and proactive support to key ... may be eligible for relocation assistance. What You Will Do + Manages contract performance for conformance to original proposal scope and program baseline cost… more