- Lundbeck (Edmond, OK)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability ... to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and… more
- Novo Nordisk Inc. (Traverse City, MI)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- CapB InfoteK (Minneapolis, MN)
- For one of our ongoing Medicaid Enterprise System (MES) modernization project we are looking for an Agile Medicaid Program (RAMP) consultant to act as Business ... Five (5) years' experience providing consultation and guidance to a State Medicaid program Three (3) years' experience supporting the creation of a strategy… more
- Lundbeck (Raleigh, NC)
- …anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply ... knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and SKILLS:… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …channels of managed care environment in the US (commercial, Medicare, Medicaid , etc.); preferredSufficient understanding of financial matters to challenge and ... pressure-test assumptions (eg pricing, GTN, etc.). preferred Trave lAbility: to travel up to 10% | Some limited travel for meetings and/or conferences.Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive… more
- Novo Nordisk Inc. (WA)
- …Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare, Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement, Privacy, Labor ... / Employment Develop NNI's policy positions, in line with Enterprise Strategy Clearly communicate with federal agencies on NNI's positions Educate and enable broader Market Access and Public Affairs Teams, Corporate Tax team, and other NNI colleagues, on… more
- City of New York (New York, NY)
- …an area called the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC). They conduct complex internal audits and quality control ... need for corrective action plans and/or training. MAQC also ensures the Medicaid programs' continuous adherence to state and federal regulations. State and Federal… more
- State of Iowa (Des Moines, IA)
- …Type: Full-time Job Number: 25-03162 Agency: 400 Health & Human Services - Medicaid Opening Date: 05/21/2025 Closing Date: 8/6/2025 11:59 PM Central LinkedIn Tag: ... Iowa Department of Health and Human Services (HHS), Iowa Medicaid insures more than 700,000 Iowans, operating with a...of nearly $7 billion. Reporting directly to the Iowa Medicaid Director, the Chief Financial Officer is a key… more
- Virginia Department of Human Resource Management (Richmond, VA)
- Assistant Attorney General, Medicaid Fraud Control Unit Job no: 5085959 Work type: Full-Time (Salaried) Location: Richmond (City), Virginia Categories: Law / ... Judiciary Title: Assistant Attorney General, Medicaid Fraud Control Unit State Role Title: Assistant Attorney...in Richmond, will serve as a litigator in the Medicaid Fraud Control Unit (Civil) handling civil fraud matters… more
- The Grand at Pawling (Pawling, NY)
- The Grand Rehabilitation and Nursing at River Valley is currently seeking a Medicaid Coordinator to join our team! Job Title: Medicaid Coordinator Position Type: ... position will be responsible for managing financial documentation, assisting with Medicaid applications, and ensuring that residents' financial needs are met. You… more
- Kaiser Permanente (Hyattsville, MD)
- …In addition to the responsibilities below, this position is also responsible for implementing best practice models; implementing patient care delivery systems and ... practice standards in one or more locations; investigating and resolving patient/family/member concerns regarding patient care and services; collaborating with physicians, outside healthcare providers, and other health care team members to achieve optimal and… more
- Spartanburg County School (Roebuck, SC)
- Announcement of Vacancy for: Medicaid Specialist Minimum Qualifications : High School Diploma (Required) with a College Degree Preferred At least 5 years of ... experience is preferred, but not required) 5 years' experience with Medicaid insurance, billing, school based programs Performance Responsibilities: Ensures the… more
- InterDent Service Corp (Oregon City, OR)
- …share and/or reimbursements. Review opportunities in Medicare Advantage plans, state Medicaid programs outside of Oregon and other growth avenues. Payor Relationship ... knowledge of various dental benefit models (FFS, Indemnity, PPO, EPO, DHMO, Discount, Medicaid , Medicare Advantage). Ideally has at least 10 years experience in the… more
- Elevance Health (Indianapolis, IN)
- …Position Title: Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid Job Description: Behavioral Health Medical Director - Psychiatrist - Indiana ... Medicaid Location: This role enables associates to work virtually...Medical Director is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and… more
- State of Iowa (Des Moines, IA)
- …The Iowa Department of Health and Human Services (HHS) is seeking an experienced Medicaid Attorney to join its legal team. This position plays a critical role in ... ensuring Iowa Medicaid 's compliance with state and federal law and supports...strong administrative law experience, a deep understanding of the Medicaid program, and the ability to provide timely, strategic… more
- PruittHealth (Charlotte Hall, MD)
- JOB PURPOSE: The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing on ... Medicaid and compliance. This position is responsible for assisting...the business office, ensuring accurate and timely processing of Medicaid applications, managing resident accounts, and maintaining compliance with… more
- Bixler Moore, LLC (Canton, OH)
- Description Probate or Medicaid Paralegal - Estate and Elder Law Firm Do you take pride in delivering exceptional work and making a real difference in the lives of ... families? We're hiring an experienced Probate Paralegal and/or Medicaid Paralegal/Advocate to join our growing estate and elder...want to hear from you. As a Probate and/or Medicaid Paralegal, you will play a critical role in… more
- CAPPS (Austin, TX)
- Job Description GENERAL DESCRIPTION The Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General (OAG) is seeking a Sergeant whose work will involve ... criminal investigations of Medicaid provider fraud and nursing home related investigations. Work...Texans. ESSENTIAL POSITION FUNCTIONS Conducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related… more
- Gentle Dental (Wilsonville, OR)
- …clinical leaders Strong understanding of DSO operations, payer environments (PPO/ Medicaid ), and practice management systems Ability to analyze performance metrics ... and develop actionable strategies for improvement Excellent interpersonal, leadership, and communication skills Willingness to travel up to 40% Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal… more
- Law Office of Polly Tatum (Worcester, MA)
- Description Medicaid - Mass Health Crisis Attorney (Hybrid Remote Position) We are looking for an experienced Elder Law Attorney to join our team in Worcester, MA. ... Candidates must have a valid Massachusetts Attorney's license to be considered. The candidate should possess excellent communication and problem-solving abilities as well as the capacity to work cooperatively in a collaborative environment. Additionally, the… more
