- Sumitomo Pharma (Phoenix, AZ)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- HealthEdge Software Inc (Phoenix, AZ)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- CVS Health (Phoenix, AZ)
- …well, but help them stay well in body, mind and spirit.The 340B Account Manager is responsible for growing customer Contract Pharmacy and retail pharmacy ... and patient participation for contracted business arrangements with clients, payer organizations and retailpharmacies. This position will require travel up… more
- Centene Corporation (Phoenix, AZ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... experience. **License/Certification:** Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, LPC and RN with… more
- BrightSpring Health Services (Prescott, AZ)
- …timely clearance of new referrals. The Intake Coordinator will report to the General Manager and work in our Prescott branch Mon - Fri. Amerita is an ... the referral to a pharmacist. + Understands which insurance companies have contracts with Amerita + Communicates with other departments including Sales and pharmacy… more
- CVS Health (Phoenix, AZ)
- …convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and ... executing enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development and implementation of… more
- Evolent Health (Phoenix, AZ)
- …to assigned health plan. + Acts as Subject Matter Expert on the contract for their assigned health plan, particularly billing requirements and reviews pricing to ... sure that the claim is billed to the proper payer source, in the proper billing format, with the...contacts with outside individuals on billing issues. + Informs Manager of problem accounts promptly. + Performs schedules hours,… more