• Network Development

    CVS Health (Hartford, CT)
    …processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in ... Summary** Aetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will...Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market… more
    CVS Health (09/05/24)
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  • Sales and Contracting Development

    The Cigna Group (Hartford, CT)
    **The Cigna Group Sales and Contracting Development Program** ** Network Contracting Analyst** **Start Date July 14, 2025** It's fun to work in a company ... Group's Sales and Contracting Development Program provides professional development for the ** Network Contractor** role among early-career employees. Our… more
    The Cigna Group (09/04/24)
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  • Pharmacy Network Manager - Remote

    Prime Therapeutics (Hartford, CT)
    …strategies and compliant with Network Management policies + Create and manage network contracting campaigns with network vendor; analyze information and ... or Network Client Services initiatives + Perform network development , network analysis and...years of managed care experience in medical or pharmacy network contracting + Must be eligible to… more
    Prime Therapeutics (09/15/24)
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  • Provider Network Manager Sr (US)

    Elevance Health (Wallingford, CT)
    …each way of a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development , and servicing. Primary ... focus of this role is contracting and negotiating contract terms. Typically works with the...large institutional providers, large medical groups and ancillary providers, value based concepts understanding and support, providers in areas… more
    Elevance Health (09/17/24)
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  • Manager Provider Network Audit Operations

    CVS Health (Hartford, CT)
    …close gaps and maximize the provider network . Lead a team of Network Development Auditors responsible for reviewing and assessing provider contracting ... of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. Manages provider contracting intake… more
    CVS Health (09/05/24)
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  • Value Based Sr. Analyst

    CVS Health (Hartford, CT)
    …support local market network teams on implementation and administration of Value Based Contracting (VBC) agreements. The Medical Economics Senior Analyst is ... of markets and deals, working collaboratively with negotiators and Network managers as well as Value Based...years in the managed care industry with exposure to value -based contracting 1 or more years of… more
    CVS Health (09/04/24)
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  • Vice President, Market Access - East

    Option Care Health (Hartford, CT)
    …VP, Regional Market Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United States. This includes ... developing and maintaining relationships in Medical, Policy, Pharmacy, and Network provider departments within key accounts, developing innovative payment approaches… more
    Option Care Health (07/07/24)
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  • Senior Software Development Engineer…

    CVS Health (Hartford, CT)
    …Electronic Funds Transfer + Network and Provider data management; Network Contracting & Pricing + Member eligibility/enrollment + Customer Billing, ... at CVS Health, you will be responsible for the analysis, design, development , and deployment of critical integrated system releases. The Mainframe Developer is… more
    CVS Health (09/11/24)
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  • Senior Analyst, Business Analytics - Audit

    CVS Health (Hartford, CT)
    …Qualifications** + 3-5 years of experience working in managed healthcare contracting , network management, or supporting roles. **Preferred Qualifications** + ... day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee,...IT role._** + As a key member of the Network team, applies in-depth knowledge of health care provider… more
    CVS Health (09/15/24)
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  • Contract Manager Vendor Performance - LA Medicaid…

    Prime Therapeutics (Hartford, CT)
    …with all areas of the Prime Therapeutics organization to coordinate network management and network administration responsibilities and facilitates resolution ... position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description** + Serves as the… more
    Prime Therapeutics (09/15/24)
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  • Delaware Valley ACO Fellowship/Provider Engagement…

    Humana (Hartford, CT)
    …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development , and contract/payer relations. This design ... Fellows report directly to Joel Port, SVP, Business and Network Development . **Sample projects:** + Analyzes quality...+ Develops a health equity strategy to update existing value -based contracting principles + Designs a social… more
    Humana (06/24/24)
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  • Provider Contract/Cost of Care Analyst…

    Elevance Health (Wallingford, CT)
    …live within 50 miles/1 hour commute of an Elevance Health locations. The **Extended Value Analytics and Optimization team** is looking for a senior analyst who will ... Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality… more
    Elevance Health (09/17/24)
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  • Contract Manager - Vendor Performance NC Medicaid…

    Prime Therapeutics (Hartford, CT)
    …with all areas of the Prime Therapeutics organization to coordinate network management and network administration responsibilities and facilitates resolution ... is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description** + Responsible for… more
    Prime Therapeutics (09/17/24)
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  • Sr. Application Developer, Mainframe

    CVS Health (Hartford, CT)
    …Electronic Funds Transfer + Network and Provider data management; Network Contracting & Pricing + Member eligibility/enrollment + Customer Billing, ... at CVS Health, you will be responsible for the analysis, design, development , and deployment of critical integrated system releases. The Mainframe Developer is… more
    CVS Health (08/23/24)
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