- Eisai, Inc (Dayton, OH)
- …your profile, we want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, ... Counselors, Pharmacy Managers/Directors, Business Administrators, State Societies, C and D Suite Health System personnel, and revenue cycle/integrity stakeholders.… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** Responsible for successful oversite and implementation of the Texas Medicaid Directed Payment Program (DPP) and internal business projects and programs ... monitors system analysis and program staff. This positions' primary focus is project /program management. **Job Duties** + Active collaborator with people who are… more
- Molina Healthcare (Tampa, FL)
- …objectives and initiatives across platforms. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May ... business development solutioning activities. + Plans and directs schedules as well as project budgets. + Monitors the product from inception through operations + May… more
- Molina Healthcare (New York, NY)
- …and may be responsible for interfacing with the Centers for Medicare and Medicaid Services (CMS) and other regulatory agencies on matters concerning Marketing. + ... decisions and issue resolution in a matrix management environment. + Strong project management skills preferred. Knowledge of CMS regulations in a managed care… more
- CVS Health (Phoenix, AZ)
- …**Required Qualifications** **Knowledge of:** + 3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience + 2 + years of in-depth knowledge ... each and every day. **Position Summary** As an Audit and Testing Program manager , you will provide technical, analytical, and business support for all assigned… more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare- Medicaid plans)_** + **_Experience managing external audits and communicating with ... with leadership in maintaining Centene Corporation's Compliance with Duals ( D -SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting,… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Product Manager - Hybrid - Albany, NY** In this role, you will be responsible for ... including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, accessible… more
- Molina Healthcare (San Diego, CA)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Amgen (Jacksonville, FL)
- …and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Jacksonville, FL** **What you will do** Let's do this. Let's ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
- Nestle (Bridgewater, NJ)
- …health and nutrition for patients and consumers. **POSITION SUMMARY:** The Senior Manager is responsible for executing and refining national and regional distributor ... Managers and the Director of the Distributor Channel, the Senior Manager develops and implements channel-specific strategies that respond to evolving healthcare… more
- Molina Healthcare (Savannah, GA)
- …reporting, process improvement, and implores continuous quality improvement. Monitors the project from inception through delivery. May engage and oversee the work ... system analysis and program staff. These positions' primary focus is project /program management. **Job Duties** **Program Oversight & Project Management**… more
- Ascendis Pharma (Princeton, NJ)
- … project management, and communication skills. As the Senior Manager , Contracting Operations, you will be responsible for working with internal/external ... skills. Ascendis Pharma is looking to hire a Senior Manager , Contract Operations to join our team. Responsibilities will...and public payers, national and regional health plans, state Medicaid , Medicare Part B and D , VA/DOD,… more
- Ascendis Pharma (Princeton, NJ)
- …+ Familiarity with government pricing implications ( Medicaid , 340B, Medicare Part D ) is a plus. + Excellent project management, analytical, and ... their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access… more
- Molina Healthcare (Akron, OH)
- …(EOE) M/F/ D /V. \#PJHPO Key Words: Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Community Health Worker, Public ... you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to Medicaid members… more
- Molina Healthcare (Layton, UT)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (Provo, UT)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Joliet, IL)
- …goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid . Works collaboratively with key departments across the enterprise to ... rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Provides leadership for...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
- Molina Healthcare (San Bernardino, CA)
- …goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid . Works collaboratively with key departments across the enterprise to ... rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Provides leadership for...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
- Molina Healthcare (Austin, TX)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
- Molina Healthcare (Owensboro, KY)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ) Executes health plan's member and community quality focused interventions ... by facilitating/building strategic relationships with community-based organizations + Evaluates project /program activities and results to identify opportunities for improvement… more
