- CVS Health (Trenton, NJ)
- …formulate, and implements the provider network strategic plans to achieve value -based contracting targets and manage medical costs through effective value ... based provider agreements. + In charge of complete value based contracting cycle from planning, creating...Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3… more
- Elevance Health (Woodbridge, NJ)
- …is not eligible for employment based sponsorship. **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
- The Cigna Group (Morristown, NJ)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... strategic direction and management of the day to day contracting and network management activities for a...contracting and negotiations for fee for service and value -based reimbursements with hospitals and other providers (eg, Hospital… more
- The Cigna Group (Jersey City, NJ)
- …identify opportunities for greater value -orientation. + Contributes to the development of alternative network initiatives. Supports analytics required for ... or Market Lead. This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- The Cigna Group (Morristown, NJ)
- …for greater value -orientation and risk arrangements. + Contributes to the development of alternative network initiatives. Supports and provides direction to ... . This role assists in developing the strategic direction and managing day-to-day contracting and network management activities for a specific territory within… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …& Value ** team, including Payer Strategy, HEOR, Pricing & Contracting , and Government Affairs. + Translate business needs into technology requirements and ... of platforms and tools for: + Payer engagement and contracting + Value communication and evidence generation...claims data, and health economics models. + Support the development of dashboards and visualizations for payer insights, pricing… more
- Humana (Trenton, NJ)
- …dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **HireVue** As ... caring community and help us put health first** The Value Based Market Support Senior Professional is responsible for...questions on VBP models + Facilitate annual trainings for contracting , PR, PE, and other market staff on upcoming… more
- Cardinal Health (Trenton, NJ)
- …segmentation, financial profit pool modeling, and executed value -based care contracting frameworks + Robust network of strong, existing professional ... be focused on expanding the organization's strategic footprint and influence in value -based care contracting . Functioning as a strategic hunter, this Director… more
- Marine Electric Systems Inc. (South Hackensack, NJ)
- …security. Job Summary We are seeking a proven Vice-President of Business Development with deep experience in defense-related sales to expand MES Technologies' ... Reporting to the CEO, you will lead strategic initiatives, identify high- value opportunities, build executive-level partnerships, and drive revenue growth for our… more
- Highmark Health (Trenton, NJ)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value -based reimbursement, through managed care contracting , provider reimbursement, ... incumbent will work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the introduction and delivery… more