- Humana (Columbus, OH)
- …+ MBA programs with a specialization in Healthcare Management + Experience supporting Medicaid Business Development + Experience working with government and ... to support the strategic direction and growth of the Medicaid and Duals lines of business . This...Wellness Product Strategy -Participates in capture planning and proposal development process for Medicaid growth opportunities to… more
- Humana (Columbus, OH)
- …experience supporting Medicaid managed care health services operations and the Medicaid managed care business development lifecycle. + Strong ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...to support the strategic direction and growth of the Medicaid and Duals lines of business . This… more
- CVS Health (Blue Bell, PA)
- …Primary Role (70% time): + Lead budget and forecast storytelling for the Medicaid business . + Oversee forecast model development and improvement, and ... (30% time): + Support trend storytelling and prospective trend development for the Medicaid business ....Use strong critical thinking skills to creatively solve complex business problems and lead team members to… more
- Amazon (Arlington, VA)
- …and other solutions to create new opportunities with our partners. * Perform administrative business development functions to lead strategy in the East, ... search of an exceptionally qualified individual with expertise in cloud technology and Medicaid program experience at the state and local level of government. As… more
- The Cigna Group (St. Louis, MO)
- …/Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid /Marketplace strategic initiatives and market development . You will become ... support our clients. This client-facing position will take a lead role in sales support for current clients. Using...as needed. This position serves as a contact for Medicaid /Marketplace strategic initiatives and market development . The… more
- CVS Health (Northbrook, IL)
- …corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business . Additionally, the incumbent will lead and participate in other key ... focus on risks and issues impacting multiple Medicaid markets; support business partners in the development of mitigation and corrective action plans… more
- CVS Health (New York, NY)
- …health care more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director, Network Management is accountable for designing ... and cost initiatives. **Responsibilities include, but not limited to:** + Manages Medicaid contract performance and drives the development and implementation of… more
- Public Consulting Group (Columbus, OH)
- …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... juvenile justice Agencies, HHS agencies, and large employer organizations. + Lead sales efforts, including prospecting, proposal development , and presentations… more
- CVS Health (Atlanta, GA)
- …high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business . Support CVS Health's financial integrity with sound ... be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within...Use strong critical thinking skills to creatively solve complex business problems and lead team members to… more
- CVS Health (Chicago, IL)
- …a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business . **A Brief Overview** The primary focus of this role ... with respective States. + Use strong critical thinking skills to creatively solve complex business problems and lead team members to do the same. + Identify… more
- State of Georgia (Fulton County, GA)
- …for existing and new Behavioral Health (BH) and/or Intellectual/Developmental Disability (IDD) Medicaid programs administered by DBHDD; * Lead costs allocation ... team to track interagency transactional payments; * Consider DBHDD business which can be considered for Medicaid ...or claims, which includes two (2) years in a lead worker, team leader , or supervisory role;… more
- CVS Health (Dallas, TX)
- …CFO Texas Medicaid Market role will function as the CFO for the Texas Medicaid Health Plan, and will lead the respective markets' ability to achieve its ... actions and financial goals across the Plan, Aetna Medicaid segment and Aetna Health Care Business ...in annual revenue as well as serve as a leader within the Texas Medicaid program since… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …+ Lead and oversee all aspects of the Connecticut Medicaid Enterprise Technology System (CT METS) program. + Ensure the successful implementation ... Director of Technology Modernization, Medicaid Programs Durational Project Manager Recruitment # 240801-0415VR-001...more effective technology. This is an outstanding opportunity to lead the modernization of our service delivery platform and… more
- Humana (Columbus, OH)
- …Strategy Organization in order to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product...key customers and support sustainable health plan operations. + Lead product and benefit filing efforts with the regulatory… more
- Sumitomo Pharma (Columbus, OH)
- …role with 2-3 days a week required in office. **Job Duties and Responsibilities** + Lead operations person for all Medicaid decisions as it relates to Model N ... advanced technology capabilities, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information… more
- State of Georgia (Fulton County, GA)
- …and Development Disabilities and Administration to support health and Medicaid innovations; Coordinator for DBHDD programmatic experts and directors in achieving ... Office of Medicaid Coordination (OMC) Program Manager Georgia - Fulton...by DBHDD; and Assist DBHDD programmatic leadership with the development of policy and procedure, clinical criteria, workflows, services… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …our generic and specialty medicines business through investment in research and development , marketing, business development and innovation. This is how ... Medicaid Claims Analyst Date: Aug 24, 2024 Location:...57268 **Who we are** Teva is a global pharmaceutical leader and the world's largest generic medicines producer, committed… more
- General Dynamics Information Technology (Fairfax, VA)
- … outcomes. + Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions. + Present findings ... **Job Family:** Data Science **Skills:** Analytical Thinking,Data Science,Machine Learning Techniques, Medicaid Compliance,Predictive Modeling **Experience:** 3 + years of related… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- MEDICAID MANAGER FOR THIRD PARTY LIABILITY UNIT Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Sept. 27, 2024 Apply with ... Apply Department of Health and Human Services (DHHS)Asst. Div. Director Medicaid /Medicare ServicesOpening Date: September 16, 2024Closing Date: September 27, 2024Job… more
- CVS Health (Austin, TX)
- …make health care more personal, convenient and affordable. **Position Summary** As our Medicaid Grievance & Appeals Business Consultant you will develop and ... major projects and functional groups. You will help our business units - and our company - meet corporate...be responsible for concurrent initiatives or act as team lead for less complex projects based on resource requirements.… more
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