• Network Development and Contracting (Value…

    CVS Health (Woonsocket, RI)
    …personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support ... innovative and strategic provider Medicaid relationships as part of the National VBC...a focus on executing enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support… more
    CVS Health (09/05/24)
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  • Provider Contract/Cost of Care Analyst…

    Elevance Health (Smithfield, RI)
    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 -Analytics**...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
    Elevance Health (09/17/24)
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  • Senior Vendor Management…

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Senior Vendor Management Professional will work as liaison between vendors and Humana ... the remainder of the calendar year beginning 1/1/2025. The Senior Vendor Management Professional builds and maintains...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
    Humana (09/12/24)
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  • Senior Manager, Professional Affairs…

    Bausch + Lomb (Foxboro, MA)
    …positioned to continue leading the advancement of eye health in the future. The Senior Manager, Professional Strategy will help create and deploy strategic plans ... with Key Opinion Leaders (KOLs), key accounts, educational institutions, and professional associations, in support of the Bausch & Lomb Pharmaceutical business.… more
    Bausch + Lomb (08/08/24)
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  • Senior Offer Development Analyst

    J&J Family of Companies (Providence, RI)
    …Abiomed's US commercial strategy, developing and implementing offers for customers. The Senior Analyst will interact closely with Sales, Contracting , Customer ... + Develop detailed offers using product knowledge, business insights, and professional judgment while adhering to contracting strategies and price… more
    J&J Family of Companies (09/11/24)
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  • Investigator Senior

    Elevance Health (Smithfield, RI)
    …policies, health insurance claims handling and provider network contracting . **Preferred Qualifications, Skills & Capabilities** + Professional certification ... **Investigator Senior ** **Supports the Payment Integrity line of business**...proprietary data and claim systems for review of facility, professional and pharmacy claims. + Responsible for independently identifying… more
    Elevance Health (09/17/24)
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  • Senior Associate - GSA Contracts Management

    KPMG (Providence, RI)
    … Associate - GSA Contracts Management to join our Enterprise Contracting Center team. Responsibilities: + Provide cradle-to-grave contract administration ... **Business Title:** Senior Associate - GSA Contracts Management **Requisition Number:**...reviews to ensure compliance with terms and conditions, and provide advice and interpretation of contract requirements. + Work… more
    KPMG (09/13/24)
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  • Quality Assurance Audit Manager

    Bank of America (Providence, RI)
    …Audit activities comply with internal policies and procedures, as well professional standards set forth by industry and regulatory institutions. Responsibilities ... + Should be able to independently draft quality reports and present results to senior audit management across the globe, and engage in discussions about risk and… more
    Bank of America (09/12/24)
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  • Manager Actuarial

    Highmark Health (Providence, RI)
    …responsive service and understanding customer needs. Effectively present information and provide decision support to team members and executive management, ensuring ... valued and leveraged to achieve the vision and mission of the organization. Provide clear and consistent feedback. Actively listen to staff's concerns and ideas and… more
    Highmark Health (09/04/24)
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