- 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
- Elevance Health (Wilmington, DE)
- …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 (Wilmington, DE)
- … 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 (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 (Trenton, NJ)
- … 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 (Trenton, NJ)
- …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
- 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
- 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
- IQVIA (Wayne, PA)
- …all major Sponsor/CRO study deals from identification to initial proposal through contracting + Follow industry trends to position **Patient and Site Centric ... Solutions** for appropriate GNB targets + Provide strategic recommendations for deeper engagement plans within ongoing partnerships as well as new markets… 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 (Trenton, NJ)
- …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 (Trenton, NJ)
- …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