- Spherion (Madison, WI)
- …policy and a sharp eye for detail? Are you ready to influence how Medicaid services are designed and delivered across Wisconsin? Spherion is seeking a Policy Analyst ... to support key benefit areas in the Division of Medicaid Services (DMS) - all from the comfort of...the comfort of your home. This is a long-term contract position offering 4 weeks of paid time off… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Health is seeking qualified candidates to fill emergency Mental Health Program Manager II vacancies related to the homelessness crisis. Under the emergency order, ... assessment will be considered for permanent appointment to Mental Health Program Manager II. Essential Job Functions Performs the full range of administrative… more
- Banner Health (Phoenix, AZ)
- …Name: Clinical Decision Making Work Shift: Day Job Category: Physicians The Senior Medical Director, Network Performance is a senior clinical executive ... network of employed and contracted providers across Medicare Advantage, Medicaid , Commercial, and government value-based programs. This role leads enterprise… more
- PacificSource (Boise, ID)
- …data files, payment, DCO assignment, and more. Participate when requested with state Medicaid contract RFPs, and other types of bid processes. Participate as ... utilize each person's talents and strengths. The Provider Network Dental Program Manager serves as PacificSource's Medicaid dental industry and benefits subject… more
- US Tech Solutions (Canton, MA)
- …coverage for multiple products / lines of business; such as state specific Medicaid and Senior Products (Medicare Advantage and SCO). The Clinical Reviewer ... Job Description: Duration: 4 months contract (with possible extension) Mon-Fri (8.15 am -...works under the general direction of the Precertification Team Manager or department Manager . The Clinical Reviewer… more
- Sumitomo Pharma (Columbia, SC)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Sr . Manager , Medicaid Contract Administration. This position ... is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- CSL Behring (King Of Prussia, PA)
- The Sr . Manager , Pricing & Government Reporting will lead the Government price reporting processes including monthly/quarterly calculations of pricing to Veteran ... (VA), Public Health Services (PHS), and Centers for Medicare and Medicaid Services (CMS). Responsible for reconciling, preparing, and analyzing federal and… more
- Abbott (Livermore, CA)
- … Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems + Develops and participates in setting ... sales contracts and Medicaid enrollments + Negotiate and draft high-value complex contract terms and conditions in accordance with corporate policies + Acts as a… more
- University of Michigan (Ann Arbor, MI)
- Sr Bill Clk/Pat Acct Rep Hlth Apply Now **Job Summary** Why Join the Revenue Cycle Department, Billing & Third Party Collections Team? We are seeking a Senior ... through write-offs, refunds, and/or transfers based on payer guidelines and contract agreements. + Following compliance standards, investigate discrepancies and take… more
- Elevance Health (St. Louis, MO)
- **Legal Counsel Sr .** **_Location:_** _This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... granted as required by law_ . The **Legal Counsel Sr ** . will help support the provider solutions team...provider contracting staff with legal issues that arise during contract negotiations. + Review proposed contract language… more
- Elevance Health (Cincinnati, OH)
- Provider Success Consultant Sr . (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... minimum of 50% of the time. **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our...drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a critical role in ... Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within ... This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and rebate agreements… more
- CVS Health (Sacramento, CA)
- …And we do it all with heart, each and every day. **Position Summary** The Contract Negotiation Senior Manager in an individual contributor position who ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies + Conducts research,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager , Pricing & Reimbursement Date:...difference with. **The opportunity** The primary role of the Sr , Manager , Pricing & Reimbursement is to ... proposal and approval process and coordinating state brand price transparency reporting. The Sr . Manager , Pricing is expected to be a subject matter expert… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Business Intelligence Analyst Contract Analyst / Analyst Senior (Remote in WI or MN) **Cost ... None **Preferred/Optional:** None **JOB SUMMARY** The Business Intelligence Analyst- Senior supports the organization in providing measurable data-driven solutions… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager Business Application Date: Jul 15, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 62880 **Who ... delivery of projects/initiatives related to US Revenue Management. The Sr . Manager will also assist in the...of trade classifications. + Must have experience understanding of Medicaid Program and experience supporting Model Flex Medicaid… more
- Abbott (Austin, TX)
- …Our team in **Austin, TX (or Alpharetta, GA)** is looking for a ** Contract Strategy & Business Engagement Manager ** **.** This person will spearhead ... the development, execution, and optimization of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the payer ... correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR) assists PSR… more
- Abbott (Alameda, CA)
- …the way patients and professionals measure, track and analyze glucose levels. As a Senior Manager Contracts Operations, you will be responsible for managing ... contract operations across multiple customer channels, including Managed Care,...operations across multiple customer channels, including Managed Care, Medicare, Medicaid , DME, and Government. The position will work cross-functionally… more
