- The Cigna Group (Providence, RI)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus… more
- UMB Bank (Providence, RI)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Cayuse Holdings (Providence, RI)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- Amgen (West Greenwich, RI)
- …or engineering industry, focusing on project controls such as funding, estimating, cost management, scheduling, and contract strategy. + A minimum of ... lives of patients while transforming your career. **Project Controls Senior Manager Cost Management/Estimating** **What you will do** Let's do this. Let's change the… more
- Highmark Health (Providence, RI)
- …years Experience working in an Actuarial Science capacity + 2 years Understanding of provider contract documents and overall contract management process + 1 ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Fallon Health (Worcester, MA)
- …* Works with Fallon Health providers/support staff and/or members to facilitate cost -effective, quality care * Requests and obtains relevant clinical information ... plans of care with defined, measurable goals and objectives and cost -benefit documentation as applicable and modifies the care plan when applicable.… more
- Fallon Health (Worcester, MA)
- …+ Works with Fallon Health providers/support staff and/or members to facilitate cost -effective, quality care + Requests and obtains relevant clinical information ... plans of care with defined, measurable goals and objectives and cost -benefit documentation as applicable and modifies the care plan when applicable.… more
- Sedgwick (Providence, RI)
- …Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult contract surety bond claims; to provide resolution of highly complex ... Taking care of people is at the heart of...RESPONSIBILITIES** + Analyzes and processes complex or technically difficult contract surety (pay and performance) claims by investigating and… more
- CVS Health (Providence, RI)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... framework to make financial decisions to resolve provider issues. Explain provider 's rights and responsibilities in accordance with contract . + Process claim… 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
- Ford Motor Company (Providence, RI)
- …at the best cost , with minimal risks to Ford Motor Credit Company + Provide feedback to valued supply partners on cost position relative to market to build ... and to accelerate the profitable growth of Ford Motor Company. We provide financing, personalized service and professional expertise to thousands of Ford and… 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
- Prime Therapeutics (Providence, RI)
- …solutions to Prime's clients to ensure Prime is delivering the highest quality and lowest cost of care to its members. The Trade Client Relations Senior Director ... of rebate guarantees, pharmaceutical manufacturer rebate agreements and drug trends; provide proactive strategic and cost saving consultation + Provides… 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)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... area of Prime Therapeutics. This position is also responsible for assisting contract negotiators and working with other internal departments regarding the financial… 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
- Cushman & Wakefield (Providence, RI)
- …with internal stakeholders and external vendors to ensure a seamless, cost -effective, and compliant travel experience across all regions. **Job Description** ... service standards. + Monitor and manage global travel vendors for quality, cost -efficiency, and adherence to service level agreements (SLAs). + Track and analyze… more
- CDM Smith (Providence, 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
- CVS Health (Woonsocket, RI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... over +$2B in Front Store Margin. The VFM system is a business-critical contract /deal management system that integrates all aspects of vendor funding into a single… more