- Sumitomo Pharma (Columbus, OH)
- **Title: Sr . Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The Sr . … more
- Conduent (Baton Rouge, LA)
- …and be part of a culture where individuality is noticed and valued every day. ** Senior Manager , Delivery** _(Position is ON-SITE in Baton Rouge LA)_ **Are you ... enjoy leading a team?** **About the Role** As a Senior Manager -Delivery, you will manage the performance...the performance and success of an approx 90 person Medicaid Long Term Care and Call Center team of… more
- CVS Health (Houston, TX)
- …Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and ... guidelines in support of national and regional network strategies.* Manages contract performance and supports the development and implementation of value-based … more
- CVS Health (Houston, TX)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct...implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Department 3006 - Finance Exemption Status Exempt Requisition # 24296 Direct Reports n/a Manager Title Accounting Operations Manager ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- CVS Health (Lansing, MI)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct...implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- Humana (Lafayette, IN)
- …(FSSA) within the past year, engaged in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and Social Services ... Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and...to the Contractor's care teams. + Partner with Dental Manager . **Use your skills to make an impact** **Required… more
- Elevance Health (Columbus, OH)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior - Medicare Cost Report Audit** **_Location: This is...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- CVS Health (Richmond, VA)
- …VA if possible- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, and ... role will focus on coordination and collaboration amongst different work efforts for Medicaid provider activities. -Primary work will be around coordination of VA … more
- Idaho Division of Human Resources (ID)
- Program Manager Medicaid Posting Begin Date: 2024/06/06 Posting End Date: 2024/07/07 Work Type: Full Time Remote: Flexible Hybrid Location: Statewide, ID, United ... The Bureau of Population Health in the Division of Medicaid is seeking a program manager to...Typically gained by at least three (3) years of senior level management experience related to healthcare management in… more
- CVS Health (Phoenix, AZ)
- …more personal, convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... innovative and strategic provider Medicaid relationships as part of the National VBC Business...enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development and implementation… more
- CVS Health (Austin, TX)
- …diversity and are dedicated to helping you achieve your career goals. The Senior Manager , Care Management develops, implements, supports, and promotes health ... healthcare to Aetna Better Health of Texas members. The Sr . Manager is responsible for oversight and...matter expert with the Aetna Better Health of Texas Medicaid contract and contract deliverables.… more
- Penn Medicine (Philadelphia, PA)
- …CVO completes and maintains credentials and privileges of 10,000 providers. As the CVO Senior Manager , you will collaborate with and provide data to health ... system operational leaders that include the Senior Manager of CVO Enrollment who has...(TJC), Department of Health (DoH), Centers for Medicare & Medicaid Services (CMS), and the National Committee on Quality… more
- Elderwood (Buffalo, NY)
- …with vested employer match up to 4% + Substantial Referral program Responsibilities Senior Contracting & Credentialing Manager Overview + Seek opportunities to ... Develop and maintain reimbursement tools for organizational use. + Create and maintain contract status summaries and tools to keep senior leadership apprised of… more
- Hartford HealthCare (Wethersfield, CT)
- …the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr . Payer Analyst develops a modeling process for ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops...to benchmark reimbursement rates to Contracted Commercial, Medicare and Medicaid reimbursement levels. 3. Builds contract terms… more
- CVS Health (Austin, TX)
- …management. Assigned to VBS Providers limited to only one line of business ( Medicaid ) and/or less complex VBS Medicaid models and smaller provider partnerships ... Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Coordinates and prepares for external provider meetings… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... solutions to clients. Serves as clinical liaison for assigned Pharmacy contract (s) and manages overall client relationship. Participates in the development of… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management,(OAGM). Medicare Support ... Contracts Group (MSCG) As a Supervisory Contract Specialist, GS-1102-15, the incumbent serves as the Director...an objective and reasonable manner. Works closely with OAGM senior management in order to perform long range planning… more
- Humana (Columbus, OH)
- …of the appropriate courses of action. **Humana Government Business government contract requires US citizenship for this position.** **Role Responsibilities** Tasks ... management activities for assigned areas. Ensures full compliance with contract requirements, policies and procedures, and performance standards. Coordinates and… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …award, administration, close-out and termination of contracts. Responsibilities Serves as Senior contract specialist and technical leader providing guidance and ... the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management,(OAGM). As a Contract… more