- CVS Health (Hartford, CT)
- …methodologies. + Designs systems to recruit providers in support of network expansion and adequacy targets. + Integrates cross-functional collaboration to contribute ... to provider compensation and pricing development activities and recommendations for...and settlement activities. + Assists in the management of network development, maintenance, and refinement activities and strategies in… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …service requirements. Prepares and processes requisitions and procurement packages to the Network Contracting Activity (NCA) for award for facility wide fund ... justifications, etc.); developing and analyzing reports to make recommendations on acquisition and contracting issues; participating in negotiations throughout… more
- Veterans Affairs, Veterans Health Administration (Portland, OR)
- …medical provider 's clinical assessment and evaluation of the Veteran's medical condition. Submits Acquisition Plans and Procurement Packages for stock and ... veteran specific needs to the Network Contracting Office and uploads quotes, bids,...databases or systems, submitting plans and procurement packages to contracting offices; interpreting prescriptions and requests for medical… more
- Management Concepts (Tysons Corner, VA)
- …is currently recruiting for Instructors to join our Acquisition & Contracting Division. In this role, you will provide student-focused, competency-based, ... Employment Duration Independent Contractor Apply Now (https://phg.tbe.taleo.net/phg03/ats/careers/v2/applyRequisition?org=MANAGEMENTCONCEPTS&cws=38&rid=475) Instructor - Acquisition & Contracting Acquisition &… more
- Elevance Health (Atlanta, GA)
- … provide an equivalent background. **Preferred Qualifications:** + Prior experience with provider network contracting , provider networks, claims, ... their execution; works cross functionally with Health Economics, Pricing Configuration, Local Network , Actuarial & Others to identify potential savings tied OON &… more
- Hubbell Power Systems (Hubbell, NE)
- Sales Director - Intelligent Grid Systems - Northeast 1 Region - Boston, MA (Remote) Apply now " Date: Sep 5, 2024 Location: HCI Non Hubbell Location, CT, US, ... Aclara, Beckwith, EIG, RFL and Trinetics. These product lines provide solutions that help our utility customers utilize technology...must reside in the following states (ME, NH, VT, MA , CT, RI, NY, NJ). #LI-AO1 #LI-remote A Day… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …Director of Contracting (DoC) is responsible for directing the full acquisition portfolio of a large and complex healthcare delivery program. This includes ... advance and accomplish the patient care mission of the Network , consisting of multiple VHA major medical ...with the vendor community and provides ongoing supervision of acquisition activities within the Network /Program. Identifies and… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …medical provider 's clinical assessment and evaluation of the Veteran's medical condition. Submits Acquisition Plans and Procurement Packages for stock and ... provides technical level purchasing support to acquire patient specific medical equipment, supplies, and services. Responsibilities Duties include, but...veteran specific needs to the Network Contracting Office and uploads quotes, bids,… more
- Air Force Materiel Command (Offutt AFB, NE)
- …The primary purpose of this position is to serve as the senior Contracting Specialist and principal technical authority, with an Unlimited Contracting Officer ... warrant, for variety of complex acquisitions. Responsibilities Lead contracting officer with unlimited signatory authority and provides technical expertise in… more
- Elevance Health (Harrisburg, PA)
- …to business and system requirements of customers as it pertains to contracting , network management, and credentialing. **Minimum Requirements** + Requires a ... **SCA Provider Enrollment Representative I** **Locations:** This is a...the government.** **The pay is as follows:** + Hingham, MA - $19.66 + Harrisburg, PA - $18.67 +… more
- TQI Solutions, Inc. (Norfolk, VA)
- …and performance reporting. The ideal candidate will have a strong background in Network Operations (NetOps) and a proven track record of managing complex IT ... to internal stakeholders and clients. + Analyze project performance data and provide recommendations for improvements or adjustments. + Apply knowledge of Network… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly ... review and carry out processes on all out of network claims. The ideal candidate will have strong technological...two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We offer a… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Many of these systems rely on core business functions (ex. claims processing, provider contracting , network management) and a complex ecosystem, so ... You are expected to dive deep into the technology from both understanding how medical costs are derived, as well as how a member's benefits impact their… more
- Fallon Health (Worcester, MA)
- …environment. Many of systems rely on core business functions (ex. claims processing, provider contracting , network management) and a complex ecosystem, so ... health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program… more
- Applied Research Solutions (Tampa, FL)
- …Partnered Operations Directorate. Partnered Operations is committed to operationally focused acquisition activities that enhance the global SOF network through ... **Description** Applied Research Solutions is seeking a full-time Acquisition Specialist located at MacDill AFB, FL in support of Special Operations Forces … more
- Huntington Ingalls Industries (Fort Belvoir, VA)
- …as well as product life cycle management, project team management, and preparing acquisition and contracting documents. + Possess a deep understanding of J&A, ... to defend our interests in cyberspace. Our deep expertise in network architecture, software and hardware development, cybersecurity and the electromagnetic… more
- The Cigna Group (Maitland, FL)
- …Sales, Health Services, Clinical, Stars & Risk Adjustment, Finance, Marketing, Cross-Segment Contracting , Provider Relations, and Network Development & ... the effective management of the performance outcomes of the provider network . The Provider Performance...their market in the following aspects: + Growing the MA Business + The Provider Performance Manager… more
- Precise Systems, Inc. (Fort Meade, MD)
- …our highly skilled workforces, we provide expert consultation on network and weapons systems acquisition programs, maintenance/modernization programs, and ... with tactical and strategic acquisition tasks: + Generate, review and provide guidance on all required documentation for contracting + Incorporate Sensitive… more
- The Cigna Group (Bloomfield, CT)
- …Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage ( MA ) Provider Contracting Senior Advisor** is a critical ... team currently manages greater than 80 national contracts including clinical programs, MA Supplemental benefits, and direct provider agreements. This role… more
- The Cigna Group (Atlanta, GA)
- …Performance, Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment Contracting , Provider Relations, and Network Development & ... this individual ensures the effective performance management of the provider network for his/her assigned sub-market and/or...in their market in the following aspects: **Growing the MA Business** : The Provider Performance Senior… more