- Elevance Health (Smithfield, RI)
- …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
- CVS Health (Providence, RI)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Constructs negotiation, execution,… more
- GE Vernova (Foxborough, MA)
- **Job Description Summary** Job Description Summary The Contract Manager will provide broad-based and thorough commercial contract management support to the ... Energy business, serves customers globally with over 12,000 employees. We provide power utilities and industries worldwide with equipment, systems, and services… more
- Humana (Providence, RI)
- … experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance. The Value-Based Programs Analyst ... us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on… more
- IMSolutions, LLC (Providence, RI)
- …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
- Sharecare (Providence, RI)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Lumen (Providence, RI)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… 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
- Olympus Corporation of the Americas (Westborough, MA)
- …providers, negotiating contracts and ensuring service-level agreements (SLAs) are met. + Provide guidance to Infrastructure Provider Manages in third party ... True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill their desires, dreams, and lives. Our… more
- Humana (Providence, RI)
- …+ Health Care experience + Credentialing, Auditing - Peer Audits, Contract Load, Service Fund, Directories or CIS experience + Provider Network ... customers. Credentialing Operations bonds the trust between patient and provider . Come join our organization and assist us in...and microwave connection can be used only if they provide an optimal connection for associates. The use of… 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 ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Humana (Providence, RI)
- …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
- Generac Power Systems (Marlborough, MA)
- …project, including sub-consultants, sub-contractors, site management team, design team, contract administration, construction accounting, and others, to ensure the ... Ensure consistency of deliverables to meet the Standard of Care . + Provided client and team leadership to drive...meetings. + Plan, organize and staff key positions and provide overall supervision and management of project(s), including ensuring… 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
- 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
- Baylor Scott & White Health (Providence, RI)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- Prime Therapeutics (Providence, RI)
- …+ Book of Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest, ... contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… 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
- South Middlesex Opportunity Council (Framingham, MA)
- …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 ... Illness, and Short-Term Disability. + Flexible Spending Accounts, Dependent Care Accounts, Employee Assistance Program, Tuition Reimbursement and more. Primary… more
- IMSolutions, LLC (Providence, RI)
- …Federal Grants Management Specialist, you will perform a wide range of contract /grant administration functions to assist the Government Grants Officer in federal ... Assess the financial stability of recipients of financial assistance awards. + Provide financial assistance and guidance on grants and cooperative agreements. +… more