- CVS Health (Hartford, CT)
- …impact by:** + Supporting the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners. + Developing ... make health care more personal, convenient and affordable. **Aetna Senior Business Development Manager Role** Aetna is recruiting for...Qualifications** + 5+ years of experience in Payer and Provider Value based care in contracting , … more
- Hartford HealthCare (Hartford, CT)
- …represent ICP on designated key committees and task forces relating to provider contracting and payer relations within HHC. *_Requirements and Specifications:_* ... in a healthcare related field with in-depth knowledge of: o Payer/ provider contracting particularly focusing on hospital, physician, behavioral health,… more
- The Cigna Group (Bloomfield, CT)
- …Performance, Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & ... network for his/her assigned sub-market and/or provider groups. The role of Senior Advisor..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Elevance Health (Wallingford, CT)
- …the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the ... ** Provider Contract Cost of Care Consultant Senior **...quality of care, and increasing member and provider network satisfaction. **How you will make an… more
- Elevance Health (Wallingford, CT)
- … Senior ** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the ... ** Provider Contract Cost of Care Analyst Senior **...quality of care, and increasing member and provider network satisfaction. Typically works with one… more
- CVS Health (Hartford, CT)
- … configurations and regulatory requirements. **Key Responsibilities:** + Collaborate with Network Contracting , Credentialing, Provider Data Services, IT, ... all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (eg, directory listings). Aligns policies… more
- CVS Health (Hartford, CT)
- …variations that currently exist across multiple Medicaid Health plans specific to provider contracting , credentialing, provider onboarding, loading and ... and process improvement skills, with a deep understanding of Medicaid network , credentialing and provider data processes. **Key Responsibilities** Leading… more
- WelbeHealth (Hartford, CT)
- … contracts across PACE programs in WelbeHealth and help build specialty-based provider network across our Southern California territories + Prepare contract ... senior population by serving as both a care provider and care plan to the participants we serve....to receive top-quality clinical care within their communities. The Network Development Manager helps ensure this by obtaining and… more
- Evolent Health (Hartford, CT)
- …4 years of experience preferred working in provider operations, practice/ network management, provider contracting , UM operations, clinical improvement, ... more connected care journey. We are hiring for a Senior Practice Performance Advisor to join our Provider...markets (both UM and VBI programs/ interventions and APMs); provide insights into the effectiveness of deployed initiatives as… more
- The Cigna Group (Bloomfield, CT)
- …partners in Supply Chain, Medical Management, Contracting , Drug Policy, Specialty Pharmacy, Provider Network , , , and other areas that can impact results + ... **Pharmacy Clinical Pharmacist- Clinical Program Senior Advisor** **Role Summary:** This position is responsible for the development of formulary strategies… more
- CVS Health (Hartford, CT)
- …role **Preferred Qualifications** + Knowledge of key managed care functions including provider contracting , benefit design, medical management as well as ... stakeholders, including Aetna/CVS Health Executive Leadership Teams, Finance, Actuarial, Network , Underwriting, Investor Relations, and Corporate Planning. The candidate… more
- The Cigna Group (Bloomfield, CT)
- …with Contracting , Coverage Policy Unit, Commercial Payment Integrity, Compliance, Network Analytics, Claim, and other business areas to accomplish goals + This ... + This role includes partnering with the business and sourcing to provide analytics to successfully negotiate competitive deals and drive optimal outcomes… more
- Cardinal Health (Hartford, CT)
- …the Fortune 500. We currently have a full-time job opening for a Senior Engineer of Vendor Third Party Risk Management. **_Department overview:_** The Information ... and teams within IT to help manage third party IT risks, vendor contracting and managing customer request for proposal responses. This is a high-visibility position… more
- Sumitomo Pharma (Hartford, CT)
- …in Japan when required. This role will partner with and influence a broad network of key R&D and Supply Chain/TOQ business leaders across affiliates to drive ... and business partners is essential for success. Responsible for negotiating and contracting with the supply base for R&D and Supply Chain/TOQ Services, ensuring… 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 ... metrics to report financial risks and opportunities to the program + Briefs Senior Management as required, attends weekly IPT cadence reviews with suppliers and/or… more