- Prime Therapeutics (Hartford, CT)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …the preparation of section of state health plans or special federal or state program plans; + Gather fiscal, programmatic, census and other kinds of needed ... calculations are not necessarily comparable from one of the three branches of state government (ie, Executive, Legislative, Judicial) to the other. + Note:… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …the preparation of section of state health plans or special federal or state program plans; + Gather fiscal, programmatic, census and other kinds of needed ... necessarily comparable from one of the three branches of state government (ie, Executive, Legislative, Judicial) to... state health plans or special federal or state program plans; + Gathers fiscal, programmatic,… more
- CenterWell (Hartford, CT)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- University of Connecticut (UConn) (Storrs, CT)
- …and ensure vibrant futures for children, youth, their families, and communities. Innovations' programs touch nearly every state and territory in the country and, ... within the Innovations Institute. Projects will include partnerships with federal, state , and/or local government agencies to advance sustainable financing… more
- Fallon Health (Springfield, MA)
- …and inspiring hope_ , we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... plans for member experience, service, and clinical quality. Fallon Health's NaviCare is a program for people age 65 and older, who live in our service area, and… more
- Public Consulting Group (Hartford, CT)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Public Consulting Group (Hartford, CT)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- Sumitomo Pharma (Hartford, CT)
- …Disease products to ensure access for patients through various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove ... escalations as needed to ensure timely access for patients + Engage with government stakeholders, including state and federal health agencies, to ensure… more
- Fallon Health (Springfield, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... Insurance and more!! **+ *$20/hr to start and exceeds state pay average! You can also make extra depending...and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short.… more
- University of Connecticut (UConn) (Storrs, CT)
- …and undergraduate academic programs and research centers, cultural institutions, and state and city government offices. This situates us ideally for carrying ... Health, the Patient-Centered Outcomes Research Institute, Centers for Medicare and Medicaid Services, Connecticut state agencies, and private foundations. Their… more
- The Cigna Group (Bloomfield, CT)
- …+ Strong knowledge of the PBM industry and Government Regulated Programs such as Medicare, Medicaid , Marketplace + Strong communication skills, including ... expert (SME) on Marketplace drug coverage, Express Scripts Marketplace Programs and Products, and State and Federal...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
- Humana (Hartford, CT)
- …and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians ... the Case Manager will collaborate with other care management programs until the beneficiary's needs are met, and case...and unrestricted Registered Nurse (RN) license in the (appropriate state ) with no disciplinary action. + An active designation… more
- Fallon Health (Springfield, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short....+ Licensed as an Emergency Medical Technician-Advanced in the State of Massachusetts or; + Certification as a Critical… more
- Prime Therapeutics (Hartford, CT)
- …Word, and system operations (eg workflow processes and case management) + Government programs (Medicare) knowledge **Preferred Qualifications** + Contact Center ... of business to review the benefits of the MTM program . This position speaks with members to gather and...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Fallon Health (Springfield, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
- Bear Mountain Health Care (East Longmeadow, MA)
- …SSD will confer with the Administrator. . All privacy regulations as mandated by the state and federal government will be strictly adhered to and in accordance ... at the facility. This documentation must comply with all state and federal requirements and will contain specific resident...to: . Nature of the disability . Activities and program participation . Psychological disposition and adjustment . Family… more
- Fallon Health (Springfield, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
- Fallon Health (Springfield, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more