3 Job Openings jobs in Hillsborough

Experience Refer to Job Description Mandatory Skills Refer to Job Description Job Description This position is for a roving employee who will work in East Brunswick, NJ and at unanticipated locations throughout the U.S. The employee must relocate. Incidental travel up to 10% within the U.S. as required. Must have a bachelor's degree or foreign equivalent degree (or an equivalent combination of education, training, and/or experience) in Computer Science, Engineering, Mathematics, or related technical field plus two (2) years of experience in a directly related position. Experience must include using one or more of the listed tools/technologies: .NET Design Patterns, Datacenter - Wintel Stack, Healthcare - Payor, Informatica IDQ and IDE, Infotainment – Automotive, Mainframe ADM, Medical Data Acquisition and Storage, Network Implementation, Oracle CPQ Cloud, Oracle Master Data Management (MDM).Oracle Retail, Project Management Utilities, SharePoint, Windows Platform Engineering, Windows Server Admin. Experience can be concurrent. Relocation required. Roles & Responsibilities Ensure seamless delivery of the projects. Deploy optimum project delivery structure post transition/ migration phase by evaluating the budget, costs, risks and staffing requirement. Create quarterly project charter with well-defined weekly project trajectory as per the project specifications & requirements and ensure 100% adherence in terms of schedule, quality, efforts and costs. Ensure 100% compliance to Project SLA’s, and information security protocols (all customer’s contractual obligations). Monitor and take appropriate actions on internal and external audit findings to ensure no major non-compliance/ deviation from the SLA. Liaise between customer and internal technical delivery team to drive project health by adhering to organizational norms of project metrics. Drive various project related audits like quality, customer, and ISO, and ensure zero non-compliance. Conducts periodic cadence with Workforce Management Group (WMG) to ensure 100% fulfillment as per the program/ project requirement. Regularly audit quality (QA) status of delivery and engage QA team to ensure adherence to Quality Assurance standards and processes. Maintain project structure in Confluence & SAP in line with prevailing business requirements and norms. Ensure expected ramp down (ERD) compliance as committed in MSA. Responsible for Client Relationship Management. Engage with client to deploy opportunities to deploy multiple solutions within/ across SLs to create a stronger value proposition for clients. Responsible for Delivery governance across the project. Create weekly/ monthly/ quarterly MIS and reports to monitor and track overall project. Conduct periodic reviews with the delivery team on operational, quality and fulfillment parameters and new idea generation & its implementation on existing projects. Identify and resolve potential risks or early warning signs on project delivery to drive for ZERO surprise escalations and eliminate any revenue leakage. Escalate any deviations from the project charter to the delivery managers in terms of schedule, effort, cost, infrastructure from the project charter and minimize process exceptions and such deviations from the actual project plan. Responsible for Operational Excellence - Automation Focus. Perform pareto analysis as per the no. of incidents received and accordingly identify automation opportunities and drive value adds across the project. Deploy next generation hyper automation and crowdsourcing initiatives in coordination with Holmes RO team to enhance productivity, quality and speed of delivery. Interact and engage with tools team to bring in new tools in the project to automate certain pointers/ elimination of any noise in the project. Drive value adds and BVMs; ensure management showcases them to customer in MRM & QBR to drive growth. Responsible for Capability Development and Talent Pipeline Creation. Demand forecasting in line with business requirements. Anticipate attrition and ensure right talent supply chain to deliver the project. Spearhead quarterly demand forecasting and resource planning aligned to project requirements. Create and deploy a workplan to fulfil the required demand from all the talent channels including external (lateral, contractors) hiring in coordination with WMG/ CWMG and Talent Acquisition team. Anticipate new skills/ upcoming technologies required to deliver the project and ensure the team is trained or right talent is inducted into the project as per the skill requirements. Prioritize and identify essential and upcoming technical skills required across programs/ projects to facilitate and drive right supply chain. Responsible for Team Management and Resourcing. Forecast talent requirements as per the current and future business needs. Build an internal talent pool and ensure their career progression within the organization. Drive diversity in leadership positions. Set goals for the team. Ensure that the Performance Nxt is followed for the entire team. Rate of Pay: $92,290.00 - $226,000.00 year To Apply REQ ID:2995666 To apply, visit In the Job Search section, select the Job Code option button. Search by the Req ID above. Wipro is an Equal Employment Opportunity employer and makes all employment and employment-related decisions without regard to a person's race, sex, national origin, ancestry, disability, sexual orientation, or any other status protected by applicable law. About the company Wipro Limited is a leading global information technology, consulting and business process services company. We harness the power of cognitive computing, hyper-automation, robotics, cloud, analytics and emerging technologies to help our clients adapt to the digital world and make them successful. A company recognized globally for its comprehensive portfolio of services, strong commitment to sustainability and good corporate citizenship, we have over 180,000 dedicated employees serving clients across six continents. Together, we discover ideas and connect the dots to build a better and a bold new future. Notice Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at or 407-000-000. Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility. An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: . NYC applicants may request an alternative process or accommodation at or 407-000-000. #J-18808-Ljbffr

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

In this National Ancillary Team role, the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, dispute resolution and/or settlement negotiations of contracts regional based ancillaries in accordance with company standards.

· Recruit, negotiate and execute ancillary (Telehealth Medicine, Home Health, DME, and Home Infusion) provider contracts, conduct high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market-based, hospitals, health systems group/system providers.

· Recruit providers as needed to ensure attainment of network expansion and adequacy targets.

· Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities.

· Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.

· Optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met.

· Participate in schedule provider meetings.

· Manages complex, contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies.

· Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies.

· Accountable for cost arrangements within defined groups.

· Collaborates cross-functionally to Ancillary and provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities

· Provides network development, maintenance, and refinement activities and strategies in support of cross market network management unit.

· Assists with the design, development, management, and or implementation of strategic network configurations and integration activities.

· Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

Required Qualifications

-Minimum 4+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex national providers.

• Experience with provider contracts, contracting options, system loads as well as provider configurations.

• In-depth knowledge of the managed care industry, as well as a strong understanding of competitor strategies, practices and financial/contracting arrangements.

• Strong written and verbal communication skills and ability to identify and capitalize on marketing opportunities to support program delivery.

• Attention to detail; ability to analyze, identify and report on significant changes to network adequacy for Commercial, High Performance Plan and Medicare plans

• Work collaboratively with multiple business areas.

• Exceptional Customer Service Skills.

Preferred Qualifications

• Ancillary knowledge (telehealth

• Reside in Midwest or East Coast time zones (any location)

• Experience with Risk Arrangements (VBC)

• Knowledge of ACAS, EPDB (Enterprise Provider Database), HRP (Health Rules Payor), Financial Report Model and SCM (Strategic Contract Manager)

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 07/18/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.