- Sumitomo Pharma (Springfield, IL)
- **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
- Prime Therapeutics (Springfield, IL)
- …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
- Humana (Springfield, IL)
- …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
- Molina Healthcare (Chicago, IL)
- …healthcare administration. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on… more
- Kepro (Springfield, IL)
- …for health solutions in the public sector. Acentra is looking for an Operations Manager to join our growing team. *This is a hybrid role that requires working ... our Springfield office up to 50% of the time Job Summary: The Operations Manager is responsible for managing the Operations and Infrastructure teams and contract … more
- Mathematica (Springfield, IL)
- …for successful delivery of large technology and data client projects with total contract value up to $50M; and leading large teams comprising of employees and ... some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most...or third-party recruiters. Please do not contact technical or senior staff at Mathematica or share unsolicited resumes. All… more
- Highmark Health (Springfield, IL)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters… more