• Senior Provider Network

    CVS Health (Providence, RI)
    …complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. ... outcomes, all while supporting cost-saving initiatives and the growth of the provider network . **Required Qualifications** + Negotiates, executes, and conducts… more
    CVS Health (01/16/25)
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  • Senior Network & Provider

    Point32Health (Canton, MA)
    …submissions, RFP/UDS submissions (as well as finding improvements) and ad hoc requests. The Senior Network & Provider Analytics Analyst may also serve as ... Summary** Working under the direction of the Director or Senior Manager, the Senior Analyst will be...analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network more
    Point32Health (01/03/25)
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  • Value-Based Contracting Lead

    Humana (Providence, RI)
    …translated into letters and contract templates, developing internal and provider facing educational materials, managing non-standard language and financial terms ... Medicaid VBP contract development, operational set-up, and execution. The Value Based Contracting Lead requires in-depth understanding of VBP and the contracting more
    Humana (01/23/25)
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  • Senior Contract Manager-$5000 sign…

    WellSense (Boston, MA)
    …improvement of departmental policies, procedures, workflows, and tools as they relate to network development and provider contracting ; . Represents the ... responsible for the development, implementation and management of a cost-effective provider network , maintaining complex and geographically diverse contracts.… more
    WellSense (01/19/25)
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  • Lead Director, Provider Data Governance…

    CVS Health (Woonsocket, RI)
    … 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
    CVS Health (11/16/24)
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  • Senior Category Manager, Sensors…

    The LEGO Group (Boston, MA)
    Senior Category Manager, Sensors and Interfaces + **Location** Boston, Massachusetts, United States of America + **Job ID** 0000021173 + **Category** Supply Chain ... Statement of Works (SoW) into the contracts while maintaining contract integrity. Provide the Component NRE and CAPEX/OPEX for leadership to integrate into SoW.… more
    The LEGO Group (12/18/24)
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  • Tax Legal Business Associate Senior Manager…

    Deloitte (Boston, MA)
    …Deloitte as the clear legal technology leader. As a Legal Business Associate - Senior Manager, you will contribute to the growth and success of Deloitte Tax LLP ... innovative solutions to address the legal department needs. + Support: Provide training around day-to-day activities, related to processes and various technologies… more
    Deloitte (11/17/24)
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  • Legal Business Associate - Senior

    Deloitte (Boston, MA)
    …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
    Deloitte (11/16/24)
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  • PBM Contract Representative Sr - LA Medicaid

    Prime Therapeutics (Providence, RI)
    …Medicare/Medicaid (eg insurance, government program operations, managed care practices, and/or provider contracting ) + Paralegal certification + Experience with ... PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for contract administration and ensuring process… more
    Prime Therapeutics (12/19/24)
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  • Clinical Transformation Consultant (Remote)

    Highmark Health (Providence, RI)
    …in health plan provider network performance management, care/case management, provider relations, provider contracting , etc. **Preferred** + MBA, MPH ... Serving as the interface between the various departments/data sources and the provider network (hospitals, health systems, ancillary services, primary care… more
    Highmark Health (12/13/24)
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  • Strategic Accounts Director- Vaccines, North East

    Sanofi Group (Boston, MA)
    …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
    Sanofi Group (11/05/24)
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  • Sr. Advisor, Practice Performance

    Evolent (Providence, RI)
    …healthcare administration with strong emphasis in Provider Operations and/or Network Development/ Provider Contracting strategies + Excellent verbal, ... more connected care journey. We are hiring for a Senior Practice Performance Advisor to join our Provider...+ Meet with practice leadership regularly to share Evolent network performance results to help inform and drive volume… more
    Evolent (11/27/24)
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  • Specialty Service Line Lead

    CenterWell (Providence, RI)
    …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... alignment with the organization's overall mission and goals. + Collaborate with senior leadership to identify opportunities for growth, service expansion, and market… more
    CenterWell (01/25/25)
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  • Secretariat Chief Information Officer

    State of Massachusetts (Boston, MA)
    …is to be the primary advocate for all veterans in the Commonwealth and provide them with quality support services. To accomplish this, EOVS administers an array of ... mission-critical outreach teams: The SAVE Suicide Prevention Team, and Women Veterans Network . In addition, EOVS is the only representative for all state agencies… more
    State of Massachusetts (11/07/24)
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  • Director of Engineering

    State of Massachusetts (Boston, MA)
    …Security (EOTSS)*is the state's lead office for information technology. We provide enterprise level information technology services and infrastructure, including ... network management and security; computer operations; application hosting; desktop...services. * Ability to develop strong relationships, including with senior stakeholders and business and technical leaders. * Experience… more
    State of Massachusetts (11/21/24)
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