- Novo Nordisk Inc. (Minneapolis, MN)
- …Market Access and Sales to gain addition of promoted products to individual state Medicaid formularies Provide assistance and direction to Market Access Sales to ... gain addition of promoted products to individual Commercial, Medicare and Medicaid formularies Provide education, communication and coordination with Sales,… 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...data tailored to the needs of the audience. + Provide oversight and direction to staff; hire, train, evaluate,… more
- CVS Health (Tampa, FL)
- …position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of ... the Chief Medicaid Compliance Officer and Medicaid Compliance leadership...communicate and influence ethical and compliant outcomes, inform projects, provide status updates, and address issues + Actively participate… more
- CVS Health (Austin, TX)
- …be a remote position preferred hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid ... Relations or Network operations.- 1+ years of experience in Medicaid and/or Medicare provider operations.- 2+ year of experience with ensuring the provider… 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 (Hartford, CT)
- …in Medicaid and/or VBC preferred. Knowledge of managed care, provider contracts and provider reimbursement methodologies preferred. + Prior experience ... on the NSPE Value Based Analytics team supports Aetna's Medicaid segment. Join this fast-paced team that works closely...plans. Responsibilities may include: Querying and analysis of complex provider claim, financial and other data to support VBC… 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 ... thinking, problem resolution and interpersonal skills. Knowledge of Texas Medicaid provider and payer landscape is a plus.Understanding knowledge of Value… more
- CVS Health (Houston, TX)
- …career goals. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract...accessibility, quality, financial goals and cost initiatives for our Medicaid products. * Negotiate and execute provider … more
- CVS Health (Phoenix, AZ)
- …Lead HRBP to provide strategic and day-to-day HR support for the Aetna Medicaid organization. The Senior HR Business Partner will be expected to regularly ... as strategic initiatives. Responsibilities: + Strategic business advisor to executive/ senior business leaders to align talent management practices, workforce… more
- Humana (Louisville, KY)
- …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role ... meet the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in… more
- CVS Health (Austin, TX)
- …and/or alternatives to meet business needs typically tied to a key Aetna Medicaid provider communications. This role will be responsible for developing and ... to effectively engage with practitioners, hospitals, and specialists within the Medicaid markets. Sets strategic communications direction for team and/or complex… more
- Molina Healthcare (AZ)
- …emphasized on application. This position will require occasional travel to provider offices. **Knowledge/Skills/Abilities** The Senior Specialist, Provider ... healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs… more
- Johns Hopkins University (Baltimore, MD)
- …Title: Sr . Programmer Analyst Job Posting Title (Working Title): Sr . Statistical Programmer Analyst and Data Manager Role/Level/Range: ATP/04/PD Starting ... populations, and technologies. The platform houses Centers for Medicare & Medicaid (CMS) health insurance claims data and is integrating next-generation data… more
- CVS Health (Lansing, MI)
- …located in MI- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, ... and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work assignments… more
- Plante Moran (Columbus, OH)
- Healthcare Reimbursement - Consulting Sr . Manager + Location: United States, Ohio, Columbus + Location: United States, Ohio, Cleveland Make your mark. Our ... senior care healthcare consulting team focuses on our clients'...Lead and manage strategic engagements focused on preparation of Medicaid and Medicare cost reports + Prepare, review, and… more
- CVS Health (Springfield, IL)
- …and CMS to serve dually eligible individuals. We are seeking a Sr . Manager to oversee our local provider relations and community outreach staff as well ... in this position, the candidate must have demonstrated experience in Medicaid and Medicare, developing dual (specifically DSNP) growth strategies, in managing… more
- Elevance Health (Nashville, TN)
- Business Change Manager Sr (JR119412) **Preferred Location** : Nashville. **CENTRAL TIME ZONE** work hours. NOTE **:** This is part of our Hybrid Workforce ... of an Elevance Health main location. The **Business Change Manager Sr .** is responsible for working with...presentations and materials for executive management meetings. + Will provide direct "chief of staff" level support to market… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Health Policy Director** **Job Class: State Program Administrator, Manager Senior ** **Agency: Mn Management & Budget** + **Job ID** : 77066 + ... and training and development opportunities. The Health Policy Director exists to provide leadership, strategic vision, and coordination of state policy and budget… more
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... Management and work closely with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental strategic product initiatives… more
- University of Miami (Miami, FL)
- …Functions: + Assists in overseeing scheduling workflow to all IR Schedulers. + Provide daily pending orders and scheduling reports to Radiology administration. + ... Provide first available reports on a weekly basis to...Imaging Services. + Ensures open lines of communication with Supervisor/ Manager /Director regarding all scheduling issues. + Assists the supervisor… more
