- Merck & Co. (North Wales, PA)
- Job DescriptionThe Executive Director , US Market Access Contracting will lead and oversee teams responsible for the implementation of our contract strategies ... Health Plans & PBMs, operating in the private and public markets ( Medicaid , Medicare, Military & State), GPOs, Hospitals, Integrated Delivery Networks, Providers,… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …With the Head of Government Affairs & Public Policy, this position will help lead Daiichi Sankyo's public policy approach to ensure patient access to our current ... while incorporating the expertise and input of colleagues across the company- Provide expertise to Government Affairs Public Policy team to identify mitigations and… more
- CVS Health (Parsippany, NJ)
- …to make health care more personal, convenient and affordable. Position Summary The NJ Medicaid Lead Director , Network Management is accountable for designing ... in accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
- CVS Health (Chicago, IL)
- …make health care more personal, convenient and affordable. Position Summary The Lead Director of Value-based role, Contracting manages and oversees Value-based ... compliance with our Network responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for building strategic… more
- CVS Health (Irving, TX)
- …are dedicated to helping you achieve your career goals. Position Summary The Lead Director , Network Management (Texas) is accountable for designing conceptual ... in accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
- CVS Health (Houston, TX)
- …and are dedicated to helping you achieve your career goals. Position Summary The Lead Director will manage the development of contracts and agreements with ... total medical cost and quality. . Health Plan/Payer or Provider Systems experience Preferred Qualifications . Medicaid ...or Provider Systems experience Preferred Qualifications . Medicaid regulatory experience . Medicaid contracting &… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid , will collaborate with ... this position will serve as a SME to all Medicaid LTSS RFP submissions and provide strategic...determined by the plan leadership for NCQA and audits.* Lead the Medicaid markets national SAI ideation,… more
- CVS Health (Downers Grove, IL)
- …to make health care more personal, convenient and affordable. Position Summary Aetna's Medicaid Proposal Director / Lead Director Project Program Manager ... leads end-to-end proposal activities for large, complex Medicaid proposals. The Proposal Director ensures high engagement and collaboration across the enterprise… more
- Humana (Columbus, OH)
- …**Additional Information:** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Director Sales and Retention will be directly involved in the development, oversight, and support of strategic and tactical ... allowable marketing practices, compliance, and associated products, such as Medicaid , Child Health Plus (CHP), and Essential Plan (EP)...Plus (CHP), and Essential Plan (EP) if applicable. The Director will interact on a regular basis with both… more
- CVS Health (New York, NY)
- …Provider /Network Relations representatives (approximately 4) and reports to the local Lead Director . Oversees the maintenance of working relationships with ... Develops processes to collect and maintain accurate and current provider databases relating to provider facilities and...+ Experience with Employee Supervision and leading teams + Medicaid Network experience + Knowledge of Medicaid … more
- Mathematica (Columbus, OH)
- …Medicaid program design and implementation at a public or private entity such as Medicaid director , disability services director , deputy director for ... seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join...witness; develop thought leadership that is based on evidence; lead technical teams as project director or… more
- State of Indiana (Indianapolis, IN)
- …this mission. Role Overview: This role, Business & Communications Manager, assists the Medicaid Director and other leaders in developing and executing business, ... Medicaid Business & Comms Mgr Date Posted: Jun...to continue professional development. + Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees.… more
- CVS Health (Austin, TX)
- …strategic alignment, operational success and performance management of assigned provider relationships with the most complex/high value initiatives and/or highest ... risk and revenue generating provider systems, networks and value-based relationships. Ensures that assigned...for multiple lines of business with a focus on Medicaid , OR + Responsible for driving improvement in deal… more
- CVS Health (Salt Lake City, UT)
- …and value at sales finalist presentations). + Proficient in Network Management, Provider Contracting and/or Medicaid Health Plan Operations + Experience with ... Must reside in Utah or Nevada + 8+ years related experience in provider contracting and network development, command of financials and pricing strategies, and/or… more
- CVS Health (Bloomington, MN)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact ... of the CVS Health family of companies.In this non-supervisory Director level position, you will assume a highly visible...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
- CVS Health (Scottsdale, AZ)
- …analyze and report data to deliver enhanced insights, improve operational efficiency, and provide outstanding customer service. The Director will be a proven ... exciting opportunity to join our PBM Finance team as Director , Financial Performance Reporting. This is a newly created...Reporting. This is a newly created role that will lead and continue to build a best-in-class reporting team.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …applying a deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare, Medicaid , and payment system expertise in support of BILH ... to the AVP of Revenue Finance and Analysis, the Director will lead a team of 4-5...Director will develop long- and short- term Medicare, Medicaid , and other government reimbursement revenue strategies, oversee preparation… more
- CVS Health (Downers Grove, IL)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact ... the CVS Health family of companies. In this non-supervisory Director level position, you will assume a highly visible...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
- Humana (Columbus, OH)
- …changes to the Ohio Department of Medicaid program. + Acting as provider performance knowledge leader, lead external and internal training for providers and ... Services, Value-Based contracting, HEDIS and Risk Adjustment. Reporting to the Associate Director and/or Market Development Advisor, the Sr. Provider Experience… more
