- Sumitomo Pharma (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …+ 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
- Public Consulting Group (Providence, RI)
- …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 (Smithfield, RI)
- … 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 (Cumberland, RI)
- …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
- CVS Health (Woonsocket, RI)
- …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
- HealthEdge Software Inc (Providence, RI)
- …and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities ... **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the… more
- Elevance Health (Smithfield, RI)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract (MAC) with ... **Audit & Reimbursement Senior -** **Medicare Cost Report Audit** **Locations:** _This...the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Elevance Health (Smithfield, RI)
- …with customer and contractually required deliverables and FAR regulations. + Senior leader responsible for contract administration and procurement thought ... government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **The Director of Contracts &… more
- Elevance Health (Smithfield, RI)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** ... will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for...with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health… more