- Elevance Health (South Portland, ME)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** 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
- Intermountain Health (Augusta, ME)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …Augusta Core Responsibilities: As a Management Analyst II in the Division of Contract Management, you will: * Provide contractual oversight and administration of ... health, operates two state psychiatric hospitals, and provides oversight to health care providers. The DHHS Division of Contract Management provides financial… more
- New England Cancer Specialists (Scarborough, ME)
- …to be the first Dana Farber Affiliate practice in the country, striving to provide the highest quality care and unmatched, holistic support for every patient. ... Specialists (NECS) is currently seeking a full time Pharmacy Cost Accountant to join our growing Finance team. The...to fiscal and pharmacy management. + Monitor purchases for contract compliance and accurate pricing. + Monitor ordering processes,… more
- IMSolutions, LLC (Augusta, ME)
- …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
- Sharecare (Augusta, ME)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Central Maine Medical Center (Lewiston, ME)
- …stakeholders and engaging teams through solicitation of input and plan implementation to provide and improve delivery of patient care , new program development, ... Monitor budgetary indicators and recommend budget adjustments as appropriate.* Provide input into pricing structures and assist in the...bringing our patients and their family's high value, low cost , and award-winning care while focusing on… more
- Lumen (Augusta, ME)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… more
- Central Maine Medical Center (Lewiston, ME)
- …healthcare mold by bringing our patients and their family's high value, low cost , and award-winning care while focusing on creating an exceptional experience ... Healthcare our team members are committed to providing exceptional care and experiences for our community and for each...perform Regional Nuclear Medicine and PET/CT Support at Multiple contract sites as a contract Technologist. +… more
- Burns & McDonnell (Portland, ME)
- …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
- Central Maine Medical Center (Lewiston, ME)
- …healthcare mold by bringing our patients and their family's high value, low cost , and award-winning care while focusing on creating an exceptional experience ... At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day. Central… more
- Wright-Ryan Construction, Inc. (Portland, ME)
- …As a manager in our Wright-Ryan Homes team, the Residential Construction Services Manager will provide extended care to the clients of the homes we build. You ... in a clear, organized, and well documented manner to ensure compliance with contract documents, cost , schedule, and quality objectives. + Knowledge of pertinent… more
- University of Maine System (Orono, ME)
- …life. Numerous cultural activities, excellent public schools, safe neighborhoods, high quality medical care , little traffic, and a reasonable cost of living make ... (20 hours/week) in support of a recently funded DOD contract . The contract focuses on studying snowpack...stages of the search process will be requested to provide a list of names and contact information for… more
- Sedgwick (Augusta, ME)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Humana (Augusta, ME)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Sedgwick (Augusta, ME)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Baylor Scott & White Health (Augusta, ME)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- Healthfirst (ME)
- …in medical terminology, medical coding (CPT4, ICD9 or ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices. + Previous ... assist with determining best approach for configuring benefits offered including member cost shares, deductibles and out-of-pocket maximums. + Assist in the setup of… more
- Healthfirst (ME)
- …in medical terminology, medical coding (CPT4, ICD9 or ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices. + ... into functional requirements, specified to an appropriate level of detail. + Provide expert support to the claims configuration process in addition to providing… more
- Intermountain Health (Augusta, ME)
- …Healthcare: a) Corporate / Central office b) Intermountain Healthcare's hospitals c) Home Care d) Medical Group e) Life Flight f) Select Health 5) The scope ... case development, financial modeling, and the related analysis and total cost of ownership understanding and analysis, implements demand management strategies,… more