- NTT DATA North America (Montgomery, AL)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to join our team ... forward-thinking organization, apply now. We are currently seeking a Project Manager to join our team in...experience running multiple concurrent projects + 6+ Years of Medicaid Systems or operations project management experience… more
- Prime Therapeutics (Trenton, NJ)
- …Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business ... management of the account, including P&L responsibility; and accountability for contract compliance.Accountable for developing and executing the strategic plan for… more
- CVS Health (Frankfort, KY)
- …and every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral ... cross-functionally to develop provider compensation and pricing strategies and manages contracts through language and compliance reviews. Serves as a liaison to… more
- Health Care Service Corporation (Richardson, TX)
- …is responsible for market and partner direct relationship development, critical contract negotiations, establishing fee-for-service and value based contracts ... implications thereof; documenting and conducting analysis of current and proposed contract arrangements and its impact on HealthSpring strategy and managing its… more
- Insight Global (Eden Prairie, MN)
- Job Description An employe is looking for a highly skilled Project Manager to join one of our largest national healthcare clients for a contract -to-hire ... to support The State of Hawaii. This team's current project manager is moving on to a...Development Life Cycle * 2+ years of experience in project management for a State Medicaid Agency… more
- Stony Brook University (Bohemia, NY)
- Care Manager , Sayville Project **Required Qualifications (as...and skills to assume the role of the Care Manager in the Medicaid Health Home Initiative. ... public entitlements and advocacy. **Brief Description of Duties:** The Care Manager provides field-based care management services to adult persons with psychiatric… more
- Boehringer Ingelheim (Ridgefield, CT)
- …(BIPI) across channels and customers, including MCO, Part D, LTC, GPO, Medicaid and other Government markets through the analysis, negotiation, and execution of ... contracts in support of the Organizations' sales and marketing...department, the role also works closely with the Organizations' Contract Compliance team as it pertains to managing the… more
- City of New York (New York, NY)
- …NYACH the City's Industry Partnership for the healthcare sector seeks an experienced Project Manager to drive initiatives that strengthen New York City's ... Job responsibilities will include, but are not limited to: Administrative Support, Project Management & Stakeholder Engagement: - Assist the Executive Director and… more
- Providence (Santa Monica, CA)
- **Description** Senior Contract Sourcing Program Manager at Providence Saint John's Health Center in Santa Monica, CA. This position is Full time and will work ... 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Purchased Services and Physician Contracting provides contract … more
- CVS Health (Richmond, VA)
- …ensure research is timely, strategic, and aligned with Aetna's pursuit of all Medicaid managed care contracts , including recompetes and new business. The right ... activities **Preferred Qualifications:** + PreviousP&L and/or business development experience and project management experience in a Medicaid managed care… more
- Point32Health (Canton, MA)
- …internally; and take a leadership role in collaboration with Procurement during contract negotiations. The Manager will frequently present upon the effectiveness ... to both internal senior leaders and external stakeholders. + **Strategy Development and Project Management** : The Manager will support department leadership in… more
- Point32Health (Canton, MA)
- …projects, and personnel necessary to ensure compliance with Medicare, Commercial and Medicaid laws and regulations and governing contracts with the Centers ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Senior Manager , Compliance Program will manage the day-to-day operations of the… more
- Commonwealth Care Alliance (Boston, MA)
- …and utilization management systems and workflows. * Experience managing delegated provider contracts and oversight programs. * Project management skills with the ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Ascendis Pharma (Princeton, NJ)
- …specialty pharmacy, and/or GPO agreements (eg, rebate, discount, and data sharing contracts ). + Operational Execution: Oversee contract set-up, terms validation, ... their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the Market Access… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and LinkedIn. **Brief summary of purpose:** The Behavioral Health Vendor Relations Manager serves as the primary liaison between Fallon Health and its contracted… more
- Commonwealth Care Alliance (Boston, MA)
- … contract performance metrics + Experience with Medicare Advantage, Medicaid ; and dually eligible populations **Desired Experience** + Experience managing or ... 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and… more
- Public Consulting Group (St. Paul, MN)
- …and posted timely. (20%) **Organizational Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations** **Key Qualifications and ... across the public sector. To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative… more
- Elevance Health (Mason, OH)
- **Program Manager Long Term Care - Self-Direction Program - OH** **_Location:_** _ This role requires associates to be in-office_ **_1 - 2 days per week_** _, ... employment, unless an accommodation is granted as required by law._ The **Program Manager Long Term Care - Self-Direction Program - OH** is responsible for initial… more
- Brockton Hospital (Brockton, MA)
- …to inform decision-making and develop actionable insights related to accreditation and payor contracts . The Manager prepares and as needed, presents reports on ... general supervision of the Vice President of Quality Resources, the Manager of Regulatory Compliance is responsible for overseeing organizational activities related… more
- Prime Healthcare (Joliet, IL)
- …chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent ... care for every patient, every time. Responsibilities The Regional Manager - Biomed is responsible for overall direction and...and payroll data from time sheets. Serves as a project team member on project implementations; independently… more
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