- CVS Health (Albany, NY)
- …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
- Albany Medical Center (Albany, NY)
- …included payer contracting - preferred + Hospital, physician group and value -based enterprise financial acumen + Demonstrated leader of people and manager of ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in conjunction… more
- Cardinal Health (Albany, NY)
- …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
- Molina Healthcare (Albany, NY)
- …Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in ... fulfill APM provider payment and regulatory requirements related to state-mandated value -based programs. Supports Manager with contracting /re- contracting of… more
- Highmark Health (Albany, NY)
- …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
- Cardinal Health (Albany, NY)
- …In particular, the Channel Product & Solutions Strategy group owns the strategic value proposition for the channel. Our mission is to design and package integrated ... & operations strategy and alignment, including the go-to-market strategy for distribution network and technology services for US medical products and distribution in… more
- Humana (Albany, NY)
- …opportunities to provide thought leadership for Humana Group Medicare. + Assisting with network development and provider contracting , as well as product ... Medical, Pharmacy, Risk Adjustment, Stars, Product Design, Trend Bender, and Network operations leaders. The role monitors Groups clinical performance and to… more
- Trinity Health (Albany, NY)
- …Clinical Pharmacy services integrated into ambulatory care services Clinically Integrated Network (CIN) activities to demonstrate value -based care. Accountable ... action plans. Pharmacy Operations - Innovator for Pharmacy business development and revenue integrity activities. Responsible for medication safety measures… more
- Cognizant (Albany, NY)
- …projects to enhance business processes and customer experiences. . Oversee the development and execution of digital strategies to drive business growth and ... CIS (Cloud, Infrastructure & Security). . Responsible for growth, Business Development & Customer Relationship activities and support delivery transformation and… more
- CVS Health (Albany, NY)
- …Functional areas may include operations, sales, marketing, provider relations, network development , utilization management, and/or STARS/HEDIS quality ... required. + Knowledge of insurance regulatory and contractual requirements. + Knowledge of value based provider contracting . + Knowledge of current health care… more