- Elevance Health (Smithfield, RI)
- …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
- GE Vernova (Foxborough, MA)
- **Job Description Summary** Job Description Summary The Contract Manager will provide broad-based and thorough commercial contract management support to the ... Energy business, serves customers globally with over 12,000 employees. We provide power utilities and industries worldwide with equipment, systems, and services… more
- CVS Health (Providence, RI)
- …and health systems to achieve successful contracting outcomes, all while supporting cost -saving initiatives and the growth of the provider network. **Required ... Manages and facilitates dispute resolution processes to address issues arising from provider contracts, ensuring equitable solutions. + Leads contract settlement… more
- IMSolutions, LLC (Providence, RI)
- …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
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical… more
- Olympus Corporation of the Americas (Westborough, MA)
- …providers, negotiating contracts and ensuring service-level agreements (SLAs) are met. + Provide guidance to Infrastructure Provider Manages in third party ... True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill their desires, dreams, and lives. Our… more
- Humana (Providence, RI)
- …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
- Brown University (Providence, RI)
- …self -insured workers' compensation program. Ensure effective program management to provide quality care for Brown's employees including innovation in ... Develop and manage an overall University-wide insurance program in order to provide insurance protection the University, its employees and related organizations from… more
- Elevance Health (Smithfield, RI)
- …programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Sedgwick (Providence, RI)
- 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
- Prime Therapeutics (Providence, RI)
- …+ Book of Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest, ... contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- South Middlesex Opportunity Council (Framingham, MA)
- …after 6 months of employment. + Two Comprehensive Medical Plans with HRA Employer cost -sharing and 79% of premiums covered by the Employer. + Dental w/ Orthodontic ... Illness, and Short-Term Disability. + Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more. Primary… more
- Sedgwick (Providence, RI)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- IMSolutions, LLC (Providence, RI)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more
- CDM Smith (Pawtucket, RI)
- …or structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. ... for the use of applicant-owned equipment while performing eligible work. * Develops cost estimates using RS Means software. * May coordinate and complete basic to… more
- Travelers Insurance Company (Providence, RI)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... claims and E&O claims involving Life Sciences insureds. + Provide quality customer service and ensure file quality, timely...in marketing and account contact efforts, as well as contract and policy reviews. + Attend and/or present at… more
- Elara Caring (Worcester, MA)
- …+ License Registered Nurse + 5 years of relevant experience in home care or healthcare, clinical operations, data analysis, contract management, and customer ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...law._ _Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information… more
- Cardinal Health (Providence, RI)
- …mission is to empower community oncology practices to deliver patient-centered cancer care . Navista, a Cardinal Health company, is an oncology practice alliance ... + Identify and drive automation and processes improvements to improve the cost of serve for practices. + Executive stakeholder management and communication. +… more
- IMSolutions, LLC (Providence, RI)
- …**This position is contingent on the award of a federal contract .** IMSolutions seeks an experienced Subject Matter Expert to fill an ... on the Task Order assigned. As the **Subject Matter Expert,** you will provide guidance and direction for specific tasks of a project. Specific expertise in… more
- CDM Smith (Pawtucket, RI)
- …detailed damage descriptions. * Develops and/or reviews scopes of work and cost estimates, including code and standard requirements. * Reviews and analyzes ... claim eligibility. * Develops or evaluates hazard mitigation proposals and benefit- cost analyses. * Works with applicants to prioritize their projects, facilitates… more