- Sumitomo Pharma (Columbus, OH)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- Elevance Health (Richmond, VA)
- Provider Network Management Sr ( Contract Negotiations) (JR128784) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of our ... being 1 day in an office per week. The **Provider Network Management Sr ** **(** Hospital Contracts) develops the provider network through contract negotiations,… more
- Elevance Health (Latham, NY)
- …Elevance Health PulsePoint location listed above. The **Provider Network Manager Sr ** will be responsible for developing the Medicaid provider network ... **Provider Network Manager Sr ** **Location:** Latham, NY; Middletown,...Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers.… more
- CVS Health (Oklahoma City, OK)
- …make health care more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies. . * Conducts research,… more
- Elevance Health (KS)
- **LTSS Network Education Representative Sr ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... Olathe, KS** Elevance Health PulsePoint locations. The **LTSS Network Education Rep Sr ** is responsible for enhancing and overseeing a comprehensive initial and… more
- CVS Health (Columbus, OH)
- …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Exemption Status Exempt Department Finance Manager Title Accounting Supervisor - Ops Direct Reports n/a Requisition # 24549 Pay and ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- Elevance Health (FL)
- **Network Education** **Representative Sr .** **Location:** Tampa FL. or Miami, Fl. This is a hybrid role with 1 - 2 days per week required in-office. Selected ... + Provides/coordinates provider training for claims and billing procedures, contract compliance, medical management, and pharmacy issues. + Promotes provider… more
- Public Consulting Group (Columbus, OH)
- …facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. + Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … 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 ** **Location:** This is a virtual position; US...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- CVS Health (Chicago, IL)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is...and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor… more
- Molina Healthcare (Covington, KY)
- …of urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Director of Technology Modernization, Medicaid Programs Durational Project Manager Recruitment # 240801-0415VR-001 Location Hartford, CT Date Opened 8/7/2024 ... + + Introduction Unique Opportunity: Director of Technology Modernization, Medicaid Programs - Durational Project Manager (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=0415VR&R1=&R3=)… more
- WellSense (Boston, MA)
- Senior Contract Manager 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 Contract Manager is responsible… more
- Consulate Health Care (Norfolk, VA)
- …Health Care of Norfolk | Full Time **Looking for qualified Assistant Business Office Manager ( Medicaid Specialist) to join our team at the Consulate Health Care ... Norfolk!** We are searching for an **Assistant Business Office Manager ** to join our community that is resident and...Our Learning Management System offers over 1,500 courses for senior care, health and human services industry. **Use it… more
- CVS Health (Tallahassee, FL)
- …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 Development team. You will work collaboratively across the… more
- Elevance Health (Mason, OH)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... Louis, MO, Grand Prairie, TX, Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing...SQL, SAS, Excel, or equivalent. + Proficiency in analyzing Medicaid claims data. + Experience analyzing and building valued… 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 ... **The role you'll 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
- Elderwood (Monroe County, NY)
- …Develop and maintain reimbursement tools for organizational use. + Create and maintain contract status summaries and tools to keep senior leadership apprised of ... Committee. + Oversee the provider monthly monitoring process. Qualifications Senior Contracting & Credentialing Manager Educational Requirements and… more
- CVS Health (Annapolis, MD)
- …next role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager . In this individual contributor role, you will negotiate with, ... market-based, behavioral health groups and facilities providers. You will manage contract performance and support the development and implementation of strategic,… more