- CVS Health (Blue Bell, PA)
- …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
- The Cigna Group (Philadelphia, PA)
- …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
- UPMC (Pittsburgh, PA)
- …Experience following fields: value-based contracting , pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc + FSA or ... exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of mathematics, probability, and… more
- The Cigna Group (Pittsburgh, PA)
- …PA and West Virginia markets** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- CVS Health (Blue Bell, PA)
- … 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
- WelbeHealth (Harrisburg, PA)
- … 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 (Harrisburg, PA)
- …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
- Xylem (Pittsburgh, PA)
- …innovative and sustainable solutions. **Job Description:** We're Hiring for **a Global Senior Manager for Filtration, Membranes, and Media!** If you are excited and ... key suppliers of each global Category within their responsibility + Provide leadership and drive the execution of strategy via cross-organizational collaboration… more
- Deloitte (Philadelphia, PA)
- …help us position Deloitte as the clear legal technology leader. As a Legal Technology Senior , you will contribute to the growth and success of Deloitte Tax LLP in a ... to aid in the efficiency of tax and legal departments. + Support: Provide training and software support around day-to-day activities, related to processes and… more
- Leonardo DRS, Inc. (Johnstown, PA)
- …Leonardo DRS Naval Electronics business provides leading naval computing infrastructure, network and data distribution and middleware enterprise services, as well as ... identify risks and areas of concern on contract terms and conditions and provide contractual advice, guidance and support to the Contract Lead/Program and Operations… more
- Sanofi Group (Philadelphia, PA)
- …solutions, and co-solutioning, Quality Initiatives, Health Equity Initiatives, Financial contracting , and other health system levers into tangible growth strategies. ... developing Quality and Health Equity Initiatives, leading and organizing new financial contracting levers + Lead, mentor, and develop a team of Strategic Account… more
- CVS Health (Blue Bell, PA)
- …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
- UPMC (Pittsburgh, PA)
- …plan accreditation; population health/disease management; data analysis and interpretation; provider relations; provider contracting models/incentive plans; ... and oversight of policies and procedures, clinical quality, accreditation, and physician network relations and the Center for High Value Health Care. The CMO… more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …for the Medical Center as it relates to Service programs. Manages procurement and contracting for the Service Line and the Medical Center in projects related to the ... termination is warranted and initiates action as appropriate with the accountable Contracting Officer. Serves as the official PM&R Service consultant to all other… more
- The Cigna Group (Philadelphia, PA)
- …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 (Harrisburg, PA)
- …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
- Deloitte (Philadelphia, PA)
- …account operations and risk management. As a Financial Analyst, you will provide high-quality engagement financial management activities through all aspects of the ... metrics such as revenue, margin, expense, etc. + Interact periodically with senior level internal, and sometimes external, clients to present various analyses,… more
- Sumitomo Pharma (Harrisburg, PA)
- …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