- Humana (Annapolis, MD)
- …claims operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence Engineer will ... Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence Engineer will be… more
- CVS Health (Boise, ID)
- …or Mountain time zones - Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and ... coast region states a plus - Experience in commercial, Medicare and Medicaid lines of business ideal **Education** Bachelor's Degree or equivalent combination of… more
- The Salvation Army (Oswego, NY)
- …and recognizes their employee's success, we encourage you to apply today! Seeking aFull Time Senior Enhanced Care Manager on our Oswego Corps Team Our Full Time ... . Wireless discount for Verizon customers . Free parking SCOPE AND PURPOSE OF POSITION: Senior Enhanced Care Manager will serve as coordinator of Care Manager… more
- The Salvation Army (Syracuse, NY)
- Overview Seeking a Senior Enhanced Care Manager to join our Divisional Headquarters Team Our Full Time opportunities offer: + Generous time off every year ... Program + Tax Deferred Annuity (403B) + Christmas Bonus SCOPE AND PURPOSE OF POSITION: Senior Enhanced Care Manager will serve as coordinator of the Care … more
- CVS Health (Columbus, OH)
- …with heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business development ... and network leaders to build innovative and strategic provider relationships...with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make an impact by:**… more
- Leidos (Baltimore, MD)
- …missions. The Digital Modernization Sector at Leidos currently has an opening for a Senior ISSO/Security Manager to work in our Baltimore, Maryland office. This ... operate, maintain, modernize and transform its legacy system. **Primary Responsibilities:** The Senior ISSO/Security Manager for a large CRM modernization effort… more
- Providence (Kodiak, AK)
- **Description** The Senior Manager of Facility Operations provides effective leadership for Providence Kodiak Island Medical Center (PKIMC) and its co-located ... on Accreditation of Healthcare Organizations (JCAHO), Centers for Medicare and Medicaid Services (CMS), Department of Health (DOH), and other regulatory agencies.… more
- Providence (Santa Monica, CA)
- **Description** Senior Contract Sourcing Program Manager at Providence Saint John's Health Center in Santa Monica, CA. This position is Full time and will work ... rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Purchased Services and Physician Contracting provides contract negotiation… more
- CVS Health (Albany, NY)
- …controls through collaborating with cross-functional teams. This position will support network across all lines of business. + Understanding business operations to ... Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to… more
- New York State Civil Service (Albany, NY)
- …of the Title Deputy Director of EISG: Position for Expr. IT Manager (6406) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative Support… more
- Erickson Living (Warminster, PA)
- …Ann's Choice by Erickson Senior Living Join us as a Business Office Manager . In this role, you will oversee financial and billing data for Continuing Care ... and insurance information requests when applicable + Monitor the Medicaid Pending applicants and maintain the Medicaid ...Bucks County, Pennsylvania. We're part of a growing national network of communities managed by Erickson Senior … more
- CenterWell (Phoenix, AZ)
- …relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health + Responsible ... and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five...insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- Healthfirst (NY)
- …system via our value-based model.** **More about the team, and the role:** **As Manager , Risk Score Accuracy your role will be critical towards our efforts to ... days on-site) 100 Church Street, NYC** **Summary:** + **The Manager , Risk Score Accuracy is responsible for managing risk...and identifying areas of opportunity for Healthfirst and hospital senior management. You will be the lead on a… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... and drive both program-wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and… more
- Commonwealth Care Alliance (Boston, MA)
- …engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- Providence (Fortuna, CA)
- **Description** Senior Environmental Services Technician at Redwood Memorial Hospital in Fortuna, CA. This position is Per Diem and will work 8-hour, Night shifts. ... Under the immediate supervision of the Manager of Environmental Services, the Environmental Services Worker performs...a 5-star rating from the Center for Medicare and Medicaid Services (CMS) as well as a Top Performing… more
- Providence (Santa Monica, CA)
- …Be a part of our distinguished team dedicated to excellence in patient care. Senior Radiation Therapist at Providence Saint John's Health Center in Santa Monica, CA. ... 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Responsible for assisting the department supervisor, manager ,… more
- Point32Health (Canton, MA)
- …products serving under and over 65 members in Massachusetts ("One Care", and " Senior Care Options"). The Performance Manager leads Duals Products performance key ... are at Point32Health (https://www.point32health.org/) . **Job Summary** The Performance Manager (Product Strategy) is responsible for supporting product strategy… more
- Bassett Healthcare (Cooperstown, NY)
- …340B Drug Pricing Program for all qualified entities throughout the Bassett Health Network . The 340B Manager serves as the primary institutional compliance ... the best quality of life possible. What you'll do Reporting to the Chief Pharmacy Officer, the 340B Manager is responsible for compliance and administration of the… more