• Medicaid Market Development Advisor

    Humana (Indianapolis, IN)
    …provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation , operations, contract compliance, and federal ... of diverse scope and complexity ranging from moderate to substantial. The Medicaid Market Development Advisor serves as the primary resource on regulations for… more
    Humana (04/30/25)
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  • Project Manager- Medicaid Contracts…

    CVS Health (Indianapolis, IN)
    …Qualifications** + 3 to 5 years Medicaid experience + 2 to 3 years contract management and processes + 2 to 3 years project management experience ... Platform Solutions - Contracts & Pricing Team to support Medicaid Contracting IT projects in Conga and to provide...of ECOM releases for Conga + Assist with ongoing management of Conga system enhancements and fixes + Ongoing… more
    CVS Health (04/24/25)
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  • Provider Contract Cost of Care Consult…

    Elevance Health (Indianapolis, IN)
    **Provider Contract Cost of Care Consult Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 ... one of our Elevance Health PulsePoint locations. The **Provider Contract Cost of Care Consult Senior** is responsible for...advice, analytic and consultative support to Medical Directors and management on cost of care issues. Leads large scale… more
    Elevance Health (05/01/25)
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  • AVP Account Management - Remote (FL…

    Prime Therapeutics (Indianapolis, IN)
    …Medicare, and Medicaid ). This individual is the primary relationship and contract owner for their assigned account/s and oversees a cross-functional account ... and drives every decision we make. **Job Posting Title** AVP Account Management - REMOTE (FL Preferred) **Job Description** The Assistant Vice President Client… more
    Prime Therapeutics (04/02/25)
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  • Market Entry Capture Strategy Lead

    Humana (Indianapolis, IN)
    …company committed to improving the health of the communities it serves. The ** Medicaid Capture Management ** team's purpose is to successfully position Humana to ... This role will work horizontally across the organization, coordinating with Medicaid leadership and operational subject matter experts to synthesize, assess, and… more
    Humana (04/24/25)
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  • Senior Director Clinical Account Management

    Prime Therapeutics (Indianapolis, IN)
    …+ 8 years of relevant client services experience in healthcare or pharmacy benefit management , preferably in Medicaid . + 5 years of leadership / people ... we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director of...with the client in order to maximize client satisfaction, contract renewals and the adoption of new or expanded… more
    Prime Therapeutics (04/09/25)
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  • Senior Compliance Analyst - Remote

    Prime Therapeutics (Indianapolis, IN)
    …or residency sponsorship **Additional Qualifications** + Experience with RFP response management , review and assessment of contract requirements, and/or ... - Remote **Job Description** The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated… more
    Prime Therapeutics (04/05/25)
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  • Research Strategy Advancement Lead

    Humana (Indianapolis, IN)
    …caring community and help us put health first** Through the design and implementation of various types of research studies and the strategic interpretation of data, ... for researching compliance issues and recommending changes that assure compliance with contract obligations. In case of an audit, coordinate with regulators, provide… more
    Humana (05/01/25)
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  • Market President, Indiana Residency Required…

    McLaren Health Care (Indianapolis, IN)
    …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... goals and objectives. With full responsibility for the plan management and compliance with all regulatory provisions of the... and compliance with all regulatory provisions of the contract , the market president manages the P&L, develops and… more
    McLaren Health Care (04/22/25)
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