- Prime Therapeutics (Salem, OR)
- …Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government Programs - Medicare & Managed Medicaid ... market segment. **Responsibilities** + Provide leadership and oversight to the Medicare and Medicaid teams and ensure the development and execution of goals that… more
- Humana (Topeka, KS)
- …a part of our caring community and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Aveanna Healthcare (Boston, MA)
- Area Vice President , Clinical Operations / RN...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply ... Salary: $140,000.00 - $175,000.00 per year Position Details Position Overview The Area Vice President of Clinical Operations is responsible for the management of… more
- Centene Corporation (Columbus, OH)
- …the one who changes everything for our 28 million members. **Position Overview** The Vice President of Population Health & Health Outcomes is a senior leadership ... Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare ...on Medicaid while collaborating with partners on Medicare and Marketplace programs. + Translate organizational vision into… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** ;The Vice President of Plan Operations & Administration leads operational strategy and execution for the AmeriHealth Caritas Ohio Medicaid ... A bachelor's degree is required. + Minimum 5 years of experience in Medicaid / Medicare operations with progressive leadership responsibilities. + 10 plus years of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Vice President of Health Solutions Location: Hybrid | Eagan, Minnesota ... join us. The Impact You Will Have As the Vice President of Health Solutions you will...will also collaborate closely with the leadership of Commercial, Medicare , and Medicaid product lines to ensure… more
- Henry Ford Health System (Troy, MI)
- The Senior Vice President (SVP) - Markets at Health Alliance Plan (HAP) is a high-impact opportunity to shape the growth and product strategy for HAP, an ... growth. + Develops and leads a comprehensive growth strategy that integrates commercial, Medicare , Medicaid , and Government lines of business to expand HAP's… more
- Humana (Arlington, VA)
- **Become a part of our caring community and help us put health first** The Vice President , Federal Strategy is a key member of the government affairs leadership ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Baystate Health (Springfield, MA)
- …Minimum - Midpoint - Maximum $0.00 - $0.00 - $0.00 **Position Summary:** The ** Vice President of Safety and Regulatory Affairs** is a senior executive ... safety and risk, including **The Joint Commission (TJC)** , **Centers for Medicare & Medicaid Services (CMS)** , **OSHA** , and **state health departments** . +… more
- Catholic Health Services (Rockville Centre, NY)
- …health systems, and managed care organizations. Negotiate and manage payer contracts ( Medicare , Medicaid , managed care, bundled + payments). + Use operational ... plans. Financial Performance + Deliver annual operating margins. + Optimize Medicare PDP and Medicaid case-mix index (CMI). + Reduce bad debt and denials through… more
- Centene Corporation (Jefferson City, MO)
- …with key federal and state regulators, including the OIG and the Centers for Medicare and Medicaid Services ("CMS"). + Oversees the management of the Compliance ... behavior required. + 7+ years of management experience required. + Other Resolving Medicaid and Medicare compliance issues experience required. + Or equivalent… more
- Signature Healthcare (Louisville, KY)
- …variance analysis + Understands federal and state healthcare reimbursement models including Medicare , Medicaid Case Mix, the MDS process, Managed Care systems, ... for financial education and functions, in partnership with the SNF Sr. Team, the Vice Presidents of Operations and the region leadership teams + Establish a cadence… more
- Humana (Helena, MT)
- …and the courage to innovate **Additional Information** Typically reports to an Associate Vice President of Health Services, Lead, or Corporate Medical Director, ... sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Vice President , Medicaid Clinical Economics & Quality provides strategic and ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Baton Rouge, LA)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Centene Corporation (Queens, NY)
- …and executive orders. + Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, Duals, SNPs). + Familiarity with healthcare laws, ... reimbursement models, and value-based care initiatives. + Perform duties as senior liaison between product line, other business units, corporate, and external stakeholders related to operational areas. + Oversee day-to-day operations including claims… more
- Commonwealth Care Alliance (Boston, MA)
- …Affairs ("Director") sits within The Government Affairs team and reports to the Vice President of Government Affairs/CareSource. This position also supports the ... to further common policy priorities. + Collaborate with the Vice President , Government Affairs in the identification,...A minimum of three (3) years of experience with Medicaid & Medicare managed care and other… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …that enhance our Medicare Advantage offering. This position reports to the Vice President , Risk Solutions. KEY DUTIES AND RESPONSIBILITIES: + Lead Product ... Ensure all products, processes, and activities comply with CMS (Centers for Medicare & Medicaid Services) regulations, as well as other federal and state health… more
- Covenant Health Inc. (Knoxville, TN)
- …with special projects and performs other duties as needed and requested by the Vice President of Patient Account Services and Corporate Manager of Revenue ... of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payors and to maximize… more
- Humana (Sacramento, CA)
- …support the region's membership, medical expense, admin and margin targets. The Regional Vice President , Operations, will provide leadership and direction in the ... direct/indirect reports, and you will report to the Regional President . Travel: While this is a remote position, occasional...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more