- Elevance Health (Woodbridge, NJ)
- …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
- Elevance Health (Woodbridge, NJ)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- Sedgwick (Trenton, NJ)
- …hospital and medical group 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...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Novo Nordisk (Plainsboro, NJ)
- …the most diverse and collaborative groups within the organization. From health- care - provider interactions and developing and implementing regulatory strategies ... experience in budget and contract negotiations with clear understanding/impact of contract and financial schedules, (ie cost benefit analysis, ROI, KPI,… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 144706 Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome ... identification, planning, implementation and evaluation of patient care . Collaborates with physicians and other health team members in coordinating and implementing… more
- Molina Healthcare (New York, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare...Services. VBP exp preferred * 3+ years experience in provider contract negotiations in a managed healthcare… more
- New York State Civil Service (New York, NY)
- …Yes Agency Parks, Recreation & Historic Preservation, Office of Title Contract Management Specialist 1/Trainee 2/Trainee 1 Occupational Category Other Professional ... 17th Floor City New York State NY Zip Code 10027 Duties Description The Contract Management Specialist 1 position is located in the NYC Regional Office. The… more
- CBRE (New York, NY)
- …Consulting, Workplace Strategy, and Workplace Experience. About the Role: As a CBRE Contract Support Associate, you will provide exceptional customer service and ... with 3-4 years of job-related experience. + 2+ years of experience in contract management, client care at financial institutions or similar background,… more
- Molina Healthcare (Manhattan, NY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- City of New York (New York, NY)
- …through the review and analysis of standard reporting documents, to ensure contract compliance. - Provide technical assistance to the contractor, respond ... select vocational goals and receive support. Other HASA's services include home care and homemaking services, mental health and substance abuse screening and… more
- Weill Cornell Medical College (New York, NY)
- …practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, ... Title: Subawards Manager - Contract Negotiation Location: Midtown Org Unit: Contracts Work...Act in the capacity of subject matter expert to provide staff w/guidance on and interpretation of Federal, State,… more
- Justworks (New York, NY)
- Unemployment Claims Associate ( Contract ) at Justworks (View all jobs) New York, New York Who We Are At Justworks, you'll enjoy a welcoming and casual environment, ... leaders in the startup community. We work hard and care about our most prized asset - our people....information to state agencies. This is a temporary, 5-month contract . What You Will Work On + Process unemployment… more
- Penn Medicine (Plainsboro, NJ)
- …Offers alternative drug therapy, when warranted, to improve outcomes and/or provide the most cost -effective therapy. Performs all necessary monitoring, ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- PSEG (Newark, NJ)
- …in the cost control process and oversee daily operation of contract staff augment resources performing cost control function. Successful candidate will ... 500 company, as well as the attention, camaraderie and care for one another you might typically associate with...to increase efficiencies. + Enhance oversight, and increase project cost data quality + Provide a monthly… more
- PSEG (Newark, NJ)
- …processes adherence and quality for variance analysis, forecasting as well as a comprehensive cost workbook. Review contract controller work as well as assist in ... experience to our more than 12,000 employees - we provide the resources and opportunities for career development that...500 company, as well as the attention, camaraderie and care for one another you might typically associate with… more
- RWJBarnabas Health (Oceanport, NJ)
- …with the system business office to provide support relating to contract interpretation, denial reviews, payment variances, and cost -based audit reviews. + ... + Analytical lead on modeling contract rates throughout the managed care contract negotiation process. + Assists in varying aspects of managed care … more
- Sharecare (Trenton, NJ)
- …-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
- Centene Corporation (Trenton, NJ)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned +… more
- RWJBarnabas Health (Oceanport, NJ)
- …Negotiate all commercial (and in some cases technical) aspects of purchases. Provide purchase recommendations based on cost , quality, and delivery. ... Business Office, 2 Crescent Place, Oceanport, NJ 07757 Job Summary: The Capital Contract Manager ( CCM ) is responsible for the strategic and tactical development… more
- Elevance Health (New Hyde Park, NY)
- …participating in the member's case in accordance with applicable state law and contract ; develops , monitors, evaluates, and revises the member's care plan ... member's needs, with the goal of optimizing member health care across the care continuum. **How you...members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. +… more