- CVS Health (MD)
- …complex contracting options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland ... cost initiatives. **Responsibilities** **include:** + Analyzes market needs and opportunities for network expansion, identifies gaps in the existing network , and… more
- CVS Health (TX)
- …And we do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, ... cost initiatives. * Recruit providers as needed to ensure attainment of network expansion goals, achieve regulatory and/or internal adequacy targets. * Support… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** ** Senior Provider Network Manager ** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... an accommodation is granted as required by law._ The ** Senior P** **rovider Network Manager **...using actuarial models strongly preferred. + Experience with Nevada Medicaid preferred. For candidates working in person or virtually… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Network Engineer, Senior - Local Hybrid/Remote within MCHS locations **Cost ... considered but would need to relocate to Wisconsin.** The Network Engineer Senior is responsible for leading...participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must… more
- Elevance Health (Mason, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare ... **Shift & Hours:** Monday-Friday, 8:00 AM - 5:00 PM Eastern Time The ** Network Relations Consultant Senior ** (Value-Based Program Specialist) is responsible for… more
- Constructive Partnerships Unlimited (Queens, NY)
- …March 31, 2027 Position Summary: Constructive Partnerships Unlimited seeks an experienced Senior Social Care Navigator to connect vulnerable Medicaid populations ... Senior Social Care Navigator Type of Position Full... Social Care Navigator will also support the Program Manager with team training, mentoring, and executing special projects,… more
- CVS Health (IL)
- …implement the Quality and Practice Transformation strategies for the IL provider network with a focus on alignment of practice operations and capabilities supporting ... Medicaid member needs. This leader will focus on implementation of clinical best practices to improve provider practice performance, and optimize health outcomes and… more
- Bluestone Physician Services (Stillwater, MN)
- …focus and core values. + Proven ability to build and maintain a strong network of trusted relationships with stakeholders at all levels. + Experience working with ... + Understanding of compliance and marketing and Centers for Medicare & Medicaid Services (CMS) industry regulations. Bluestone Benefits : + Health Insurance +… more
- NJ Sharing Network (New Providence, NJ)
- …plans to improve performance and outcome measures. Partners with NJ Sharing Network departments to improve all aspects of the donation process. Utilizes skills ... and weekend work is required. Responsible for timely compliance with all Network programs and policies. Duties and Responsibilities Essential Functions: + Identifies… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Senior Market Development Professional will be instrumental in driving the Midwest Region's product ... key, as well as, partnering effectively with stakeholders across Humana. The Senior Market Development Professional will be instrumental in driving the Midwest… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Director, Chief Enterprise Analytics Job Category: Management/Executive Department: Advanced Analytics Lab Location: Los Angeles, CA, US, 90017 Position Type: ... safety net required to achieve that purpose. Job Summary The Senior Director, Chief Enterprise Analytics provides strategic leadership and enterprise-wide decision… 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
- Atrius Health (Newton, MA)
- …supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and ... proposal during contract negotiations . Perform strategic analyses related to network partnerships, strategic growth, and other critical strategic projects. .… more
- WellSense (Boston, MA)
- …for our members, no matter their circumstances. **Job Summary:** _The BH Clinical Program Manager , reports to the Senior Manager of Behavioral Health Program ... **Supervision Received:** **.** **General Direction is received weekly by the Senior Manager of BH Program Performance** **Qualifications:** **Education… 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
- WellLife Network (Coram, NY)
- …Degree Salary Range $70000.00 - $70000.00 Salary Job Description Position Summary: Manager of care coordinators. The Program Coordinator will ensure that all ... Essential Accountabilities: + Supervise 1-2 teams, consisting of a Senior Care Coordinator and up to I0 Care Coordinators...care plans, and changes in managed care status/plan and Medicaid recertification. Ensure all changes are reported in a… 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
- LA Care Health Plan (Los Angeles, CA)
- …plan partners' audit and quarterly financial analysis of their Medi-Cal provider network . Communicates effectively with senior leadership on compliance matters ... Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS...the plan partners' oversight activities of their Medi-Cal provider network . Manages all aspects of running an efficient and… more
- Comfort Keepers of St. Cloud, MN (St. Cloud, MN)
- …ensure our services are seamlessly integrated into their patient care pathway. + Network within senior care and financial planning communities to identify ... Business Development Manager Job Summary: The Business Development Manager...and establish new high-value relationships with professionals who influence senior care decisions, such as: + Hospital case managers… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mission. Reporting to the Chief Data and Analytics Officer, the Data Governance Manager collaborates with senior administration and staff to set data priorities, ... out-of- network monitoring, benefits, etc.), financial options, focusing on Medicaid screening and charity assistance eligibility. + Ensure that counselors are… more