- Merck & Co. (North Wales, PA)
- …current indications and launch future indications.- This role will report to the Executive Director , Oncology Market Access and will lead a team of three ... Job DescriptionThe Director Payer/Market Access will work closely with agency...and focus on customer segments (eg health plans, Medicare, Medicaid , federal, pharmacy, hospital, Group Purchasing Organization s, etc.).… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …With the Head of Government Affairs & Public Policy, this position will help lead Daiichi Sankyo's public policy approach to ensure patient access to our current ... while incorporating the expertise and input of colleagues across the company- Provide expertise to Government Affairs Public Policy team to identify mitigations and… more
- Marion County (Salem, OR)
- …care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal ... high fidelity programing.For those relocating from outside of Oregon, we provide the following relocation package*:Up to $3,000 reimbursement of moving… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. A Brief OverviewThis lead director will lead the Medicaid reserve process. This person will ... Statement. + Serves as a business partner to the Medicaid business actuarial and finance teams. Provide ...the Medicaid business actuarial and finance teams. Provide insights regarding the level of medical costs recognized… more
- CVS Health (Tampa, FL)
- …health care more personal, convenient and affordable. Position Summary You will oversee Medicaid provider data operations related to claim pends, new business ... activities/support 1+ years of new business implementation focus in Medicaid Preferred Qualifications *Project management experience.* Provider data and… more
- CVS Health (Northbrook, IL)
- …initiatives across the Aetna Better Health Plans. Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement ... an outstanding opportunity for an enthusiastic team player to lead local market Medicaid Provider ...plans. This position is responsible for implementing and optimizing provider engagement initiatives for all Aetna Medicaid … more
- CVS Health (Irving, TX)
- …make health care more personal, convenient and affordable. Position Summary The Lead Director , Network Management (Texas) is accountable for designing conceptual ... in accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
- CVS Health (Houston, TX)
- …to make health care more personal, convenient and affordable. Position Summary The Lead Director will manage the development of contracts and agreements with ... total medical cost and quality. . Health Plan/Payer or Provider Systems experience Preferred Qualifications . Medicaid ...or Provider Systems experience Preferred Qualifications . Medicaid regulatory experience . Medicaid contracting &… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid , will collaborate with ... this position will serve as a SME to all Medicaid LTSS RFP submissions and provide strategic...determined by the plan leadership for NCQA and audits.* Lead the Medicaid markets national SAI ideation,… more
- Humana (Columbus, OH)
- …population with a strong lens on intersecting behavioral and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, ... peer to peer and appeals as needed. + Provide weekend and holiday Medical Director coverage...reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on… more
- Humana (Columbus, OH)
- …**Additional Information:** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- CVS Health (New York, NY)
- …Provider /Network Relations representatives (approximately 4) and reports to the local Lead Director . Oversees the maintenance of working relationships with ... Develops processes to collect and maintain accurate and current provider databases relating to provider facilities and...+ Experience with Employee Supervision and leading teams + Medicaid Network experience + Knowledge of Medicaid … more
- Humana (Frankfort, KY)
- …scope and complexity ranging from moderate to substantial. The Medicaid Pharmacy Director , internally known as a Clinical Pharmacy Lead , Plans, directs, and ... and help us put health first** The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while...benefits **Work-At-Home Requirements** + Must have the ability to provide a high speed DSL or cable modem for… more
- Mathematica (Columbus, OH)
- …Medicaid program design and implementation at a public or private entity such as Medicaid director , disability services director , deputy director for ... seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join...witness; develop thought leadership that is based on evidence; lead technical teams as project director or… more
- State of Indiana (Indianapolis, IN)
- …this mission. Role Overview: This role, Business & Communications Manager, assists the Medicaid Director and other leaders in developing and executing business, ... Medicaid Business & Comms Mgr Date Posted: May...to continue professional development. + Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees.… more
- CVS Health (Hartford, CT)
- …national consulting contracts, as well as other related and ad hoc responsibilities. Lead the Aetna Medicaid National Advisory Council, developing strategic plans ... affordable. Position Summary Support the company's efforts related to Medicaid strategy by managing vendor relationships, external memberships, partnerships,… more
- CVS Health (Salt Lake City, UT)
- …and value at sales finalist presentations). + Proficient in Network Management, Provider Contracting and/or Medicaid Health Plan Operations + Experience with ... Must reside in Utah or Nevada + 8+ years related experience in provider contracting and network development, command of financials and pricing strategies, and/or… more
- CVS Health (Bloomington, MN)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact ... of the CVS Health family of companies.In this non-supervisory Director level position, you will assume a highly visible...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
- CVS Health (Downers Grove, IL)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact ... the CVS Health family of companies. In this non-supervisory Director level position, you will assume a highly visible...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
- Beth Israel Lahey Health (Charlestown, MA)
- …applying a deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare, Medicaid , and payment system expertise in support of BILH ... to the AVP of Revenue Finance and Analysis, the Director will lead a team of 4-5...Director will develop long- and short- term Medicare, Medicaid , and other government reimbursement revenue strategies, oversee preparation… more
