- Lundbeck (Santa Monica, CA)
- …Join us on our journey of growth! As a Psychiatry Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability… more
- Lundbeck (Fort Collins, CO)
- …in the primary care and neurology settings. As an Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply… more
- Lundbeck (New York, NY)
- …transform lives. It's a very exciting time to join our team as we lead the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager, ... you lead the promotion of our infusion product, driving demand...external partners and effectively addresses payer access issues (Medicare, Medicaid , Commercial) using Lundbeck resources. Local Market & Therapeutic… more
- Eisai, Inc (Miami, FL)
- …the Associate Director, Access and Reimbursement, the ARM, will be the functional lead for Access and Reimbursement activities across HCP offices, alternate sites of ... healthcare system across one or more major payer segments (Medicare, Medicaid , Federal, and Commercial).Experience working with medical and pharmacy benefits,… more
- The Career Sphere (Charleston, SC)
- …care, and we re looking for a compassionate and skilled Primary Care Physician to help lead the charge. In this role, you ll be at the heart of a collaborative, ... (EMR).Compliance with Tuberculosis (TB) screening requirements.Preferred:Active DEA license.Medicare and Medicaid provider credentials.Two or more years of experience in… more
- Humana (Lincoln, NE)
- …caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and operating objectives, including ... their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice...transitioned smoothly to markets. + Works with the Test Lead to develop plans of action for testing new… more
- CVS Health (Hartford, CT)
- …innovation? Aetna, a CVS Health company, is seeking an Executive Director, Digital Medicaid Capabilities to lead the vision, strategy, and execution of our ... digital Medicaid portfolio. Reporting to the VP, Digital Aetna Product,...ensuring alignment with business objectives and member needs. + Lead the end-to-end delivery of features and experiences, focusing… more
- Cognizant (Everett, WA)
- …+ Ensure compliance with industry standards and regulations related to Medicare and Medicaid Claims. + Lead the troubleshooting and resolution of complex ... **Job Summary** The Technical Lead role is pivotal in managing and optimizing...iSeries/AS400 systems ensuring seamless operations within the Medicare and Medicaid Claims domain. With a hybrid work model and… more
- Centene Corporation (Columbus, OH)
- …improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid . + Lead population health initiatives with a strong focus on ... the direction of Centene and the Ohio Department of Medicaid . While the primary focus is on Medicaid...the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and… more
- Highmark Health (Camp Hill, PA)
- …navigating the complexities of state-level regulations and contracting processes. + ** Medicaid Strategy & Execution:** Lead the development and implementation ... relations and contracting efforts. This encompasses a broad portfolio including Medicaid , TRICARE Dental Program (TDP), and Active Duty Program (ADDP) contracts.… more
- Covenant Health Inc. (Knoxville, TN)
- …and financial performance. Recruiter: Suzie Mcguinn || ###@covhlth.com Responsibilities Medicare & Medicaid Reimbursement Oversight + Lead all phases of Medicare ... Covenant Health's reimbursement strategy across all payors, including Medicare, Medicaid /TennCare, and commercial insurers. This role ensures accurate regulatory… more
- Commonwealth Care Alliance (Boston, MA)
- …* Maintain up-to-date knowledge of and compliance with CMS, NCQA and state Medicaid requirements. * Lead preparation for internal and external audits (eg ... (eg InterQual, CMS NCDS & LCDs) medical necessity guideline development. * Ability to lead audit readiness efforts and ensure compliance with CMS, NCQA and state … more
- Staffing Solutions Organization (Albany, NY)
- …Program needs and Policy changes to ensure reporting requirements, performance goals and Medicaid compliance. e. Lead the collaboration required to develop and ... including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, accessible… more
- MyFlorida (Fort Myers, FL)
- MEDICAID WAIVER LIAISON - 67014883 Date: Oct 3,...the qualities of being humble, hungry, and smart and lead others to embody the same. This entails lacking ... Requisition No: 862471 Agency: Agency for Persons with Disabilities Working Title: MEDICAID WAIVER LIAISON - 67014883 Pay Plan: Career Service Position Number:… more
- AdventHealth (Altamonte Springs, FL)
- …adjusting or adapting messaging for different stakeholders. + Participates in and/or lead special projects as assigned. DIRECT REPORTS Medicaid Team **The ... Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental … more
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud/Nursing Home Abuse (3819) Occupational Category Legal Salary Grade NS ... New York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Special Assistant Attorney General… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...in state court. Often, the unit acts as the lead investigative agency gathering information from partnering law enforcement… more
- New York State Civil Service (Mineola, NY)
- …HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud/Nursing Home Abuse (3818) Occupational Category Legal Salary Grade NS ... State NY Zip Code 11501 Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County) Special Assistant Attorney General… more
- UNC Health Care (Eden, NC)
- …ensure adherence to all applicable healthcare regulations and standards (HIPAA, Medicare/ Medicaid , JCAHO). Lead the development and implementation of policies ... resolve conflicts and disagreements in a constructive manner. **Leading People:** Lead people toward meeting the organization's vision, mission, and goals. Provide… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid /Marketplace strategic initiatives and ... market development. You will become a subject matter expert (SME) on Medicaid /Marketplace pharmacy benefits, Express Scripts Programs and Products, and State and… more
