- Elevance Health (Manchester, NH)
- …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
- Elevance Health (Manchester, NH)
- …Candidates must live within 50 miles of one of Elevance's Pulse Point locations. The ** Provider Contract / Cost of Care Analyst Sr.** is responsible for ... analytical support to the Cost of Care and/or Provider ... contract negotiators, Medical Directors and management on cost of care issues to help reduce… more
- Elevance Health (Woburn, MA)
- …metrics. * Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of ... and interpersonal skills is preferred. * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- Intermountain Health (Concord, NH)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… more
- CVS Health (Concord, NH)
- …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
- South Middlesex Opportunity Council (Lowell, MA)
- …RN provides consultation, education, and support to team members and provider network regarding co-occurring medical issues related to behavioral health/substance ... 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… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the Clinical Excellence Division to improve patient outcomes and minimize total cost of care by promoting high-value, evidence-based pharmacotherapy. This is ... and value-based contract performance. The scope and nature of patient care services are focused on optimizing patients' therapeutic outcomes, and includes active… more
- IMSolutions, LLC (Concord, NH)
- …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
- Textron (Wilmington, MA)
- …source justification completion\. * Collaborate with Supply Chain buyers and Sub\- Contract and estimating team to develop outsourcing should\- cost analysis\. ... supplier/part manufacturing and sourcing plans with IPT \(Integrated Project Team\), including Sub\- contract and Buyers\. * Identify cost savings and cost… more
- Textron (Wilmington, MA)
- …\(TRR, TIM, PDR, CDR, etc\.\)\. * Collaborate with Supply Chain buyers and Sub\- Contract and estimating team to develop outsourcing should\- cost analysis\. * ... supplier/part manufacturing and sourcing plans with IPT \(Integrated Project Team\), including Sub\- contract and Buyers\. * Identify cost savings and cost… more
- RTX Corporation (Westford, MA)
- …within our EOIRS organization. In this role, the ideal candidate will provide accurate and insightful management analysis with recommendations enabling the programs ... to execute according to our cost and schedule baseline, while maximizing financial objectives for...analysis) and billings as well as proactive management of contract funding. + Manage the coordination, development, and delivery… more
- ATI Physical Therapy (Lynn, MA)
- … with insurance and/or personal disability adjustors in claim strategy and business cost -savings initiatives * Support the maintenance of provider networks to ... needed Monday - Friday 6:00am - 1:30am Thisrole will provide case management services for an employer, embedded within...services for an employer, embedded within the clinic per contract agreement per contract agreement. Perform clinical… more
- Sedgwick (Manchester, NH)
- 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 ... technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Oasis Systems, LLC (Bedford, MA)
- …for all applicants; + Top Secret Clearance preferred RESPONSIBILITIES + Provide significant, expert level support to government counterparts regarding acquisition ... SOW, PWS, SAMP, SCGs, program protection plans, Congressional Briefs, pre and post contract documentation as needed and update contract documentation. + Prepare… more
- Humana (Concord, NH)
- …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
- Elevance Health (Manchester, NH)
- …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
- Intermountain Health (Concord, NH)
- …business owners accountable to our pre-identified goals and objectives. + Provide regular updates on category performance, strategic initiatives, and market trends ... further develop and strengthen the department. + Support Business Stakeholder in Contract Lifecycle Management of assigned contract portfolio. + Support Sourcing… more
- Sedgwick (Concord, NH)
- 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
- Beth Israel Lahey Health (Burlington, MA)
- …of director meetings as well as relevant community meetings as needed. + Provide formal or informal direction in care management, utilization review, clinical ... of the organization's policies and practices on finance, revenue cycle, care management, accounting, insurance, managed care contracting, patient access… more
- BAE Systems (Hudson, NH)
- …with BAE Systems. In Countermeasure & Electromagnetic Attack Solutions, we provide next-generation threat detection and countermeasure solutions to provide ... to recruit and retain the best and brightest. Taking care of the Contracts team by offering daily flextime,...Electronic Systems (ES) Sector. This Contracts Manager role will provide an opportunity to work in a dynamic and… more