- Terumo Medical Corporation (Somerset, NJ)
- Sr . Compliance Manager - Monitoring & Transparency Date: Jun 6, 2025 Req ID: 4392 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. ... wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Compliance Manager -Monitoring & Transparency, will support the Director… 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
- Conduent (Denver, CO)
- …is noticed and valued every day. **Enterprise Data Warehouse, Account Management - Medicaid ** Remote | Full-Time Location: Colorado Do you have a proven track record ... Role:** We're looking for a skilled and experienced **Account Manager ** to support the successful delivery and growth of...support the successful delivery and growth of a new Medicaid Enterprise Data Warehouse client account in Colorado. In… more
- Elevance Health (Columbus, GA)
- Provider Success Consultant Sr . (Georgia Market) **Location:** This role requires associates to be in-office (Atlanta or Columbus) 1 - 2 days per week, fostering ... PEACHTREE ST NW** + **COLUMBUS, 6087 TECHNOLOGY PKWY** **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our providers and driving… more
- Elevance Health (Independence, OH)
- …Prompt Pay requirements are met and reported according to State regulator contract standard. Collaborates with all plan departments to identify, report and resolve ... Qualifications:** + Understanding of medical claims in Medicare and Medicaid strongly preferred + Experience in a FIDE or...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** The Senior Manager Medicare Product, Vendor Management Contract Lead is responsible for contracting, ... relationship management, Compliance oversight, Auditing, and projects as assigned. Senior Manager - Vendor Management is a...is a high impact role, you will lead advance contract and negotiation skills, work with other partner to… 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
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. **Position Summary** The Sr . Manager is an experienced/career level compliance position that applies compliance, ... organization environment with a current focus on integrated special needs plans. The Sr . Manager Compliance maintains productive relationships and open lines of… more
- AdventHealth (Maitland, FL)
- …estimating month-end net patient revenue for the Florida division. This position assists the Sr . Contract Manager with ensuring that preferred contract ... role you will contribute:** This position is responsible for contract review and interpretation; as well as, the building...* Performs special projects and tasks as requested by senior staff and leadership. * Supports the overall mission… 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
- Fallon Health (Worcester, MA)
- …provider network; physician, hospital, ancillary, and/or carve out vendor as assigned by Senior Director or Manager . + Prepares, updates and maintains files and ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… 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
- Providence (Irvine, CA)
- …and retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or ... member, in significant negotiations with Payors for acceptable reimbursement terms and contract languages for all entities with continuum of care + IE Hospitals,… more
- Abbott (Alameda, CA)
- …way patients and professionals measure, track and analyze glucose levels. As a ** Senior Manager , Strategic Pricing,** you will be responsible for developing and ... strategies across all ADC brands and customer channels, including Managed Care, Medicaid , Medicare, Retail, and Point of Care (POC). The position supports the… more
- Prime Therapeutics (Helena, MT)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- WellSense (Boston, MA)
- Senior Provider Relations Consultant, BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...our members, no matter their circumstances. **Job Summary:** **The Senior Provider Relations Consultant (Snr PRC) is responsible for… more
- Mount Sinai Health System (New York, NY)
- …all financial terms. + Procure and upload all financial data into Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...in Experian Contract Manager Tool. + Reconcile budgeted revenue… more
- Elevance Health (Chardon, OH)
- **Associate General Counsel Senior - Commercial Transactions** **Location:** This role requires associates to be in-office **3** days per week, fostering ... LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC...more than 118 million people. The **Associate General Counsel Senior - Commercial Transactions is** responsible for developing and… more