- Novo Nordisk Inc. (Suffern, NY)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
- Humana (Columbus, OH)
- …improves processes and performance. The Senior Project Manager ( Medicaid Network Implementation) translates network and provider strategies into tactical ... health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network...management of end-to-end provider -related functions in new Medicaid market implementations. The Senior Project … more
- CVS Health (Hartford, CT)
- …Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment, the Market Manager of ... Risk Adjustment will work closely with cross-functional leadership across the Medicaid business to establish and champion a local market culture committed to… more
- CVS Health (Austin, TX)
- …be a remote position preferred hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid ... Relations or Network operations.- 1+ years of experience in Medicaid and/or Medicare provider operations.- 2+ year of experience with ensuring the provider… more
- CVS Health (New York, NY)
- …deliver solutions to make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of ... 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
- Conduent (Baton Rouge, LA)
- …improve processes?** **Do you enjoy leading a team?** **About the Role** As a Senior Manager -Delivery, you will manage the performance and success of an approx ... culture where individuality is noticed and valued every day. ** Senior ** ** Manager , Delivery** _(Position is ON-SITE in_...90 person Medicaid Long Term Care and Call Center team of… more
- HCA Healthcare (Asheville, NC)
- …purpose and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Area Manager today with Mission Hospital. **Benefits** Parallon at ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...vary by location._** Come join our team as a Medicaid Eligibility Area Manager . We care for… more
- CVS Health (Hartford, CT)
- …health management, health and economic outcomes, and other business needs. Reporting to the Sr . Manager of Medicaid Risk Adjustment Analytics, the Sr ... solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr . Analyst will play a critical role in… more
- CVS Health (Houston, TX)
- …Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and ... thinking, problem resolution and interpersonal skills. Knowledge of Texas Medicaid provider and payer landscape is a plus.Understanding knowledge of Value… more
- CVS Health (Houston, TX)
- …and affordable. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract...accessibility, quality, financial goals and cost initiatives for our Medicaid products. * Negotiate and execute provider … more
- Humana (Louisville, KY)
- …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role ... meet the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in… more
- CVS Health (Oklahoma City, OK)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Sr . Manager , Provider Engagement manages and ... * Manages local PR staff to ensure Market Leading Provider Satisfaction scores * Co-facilitates provider Advisory...Relations & Employee Supervision with 2 - 3 years Medicaid Network experience + Excellent interpersonal skills and the… more
- CVS Health (Austin, TX)
- …projects and or programs such as financial, regulatory, marketing, etc. + Supports Provider Engagement processes across the Medicaid enterprise with a regional ... focus. Deploy the Medicaid National Provider Engagement strategy through the Local Market Network...pain-points and goals. Help to lead established workgroups to provide resolution to current opportunities for Provider … more
- Humana (Indianapolis, IN)
- …help us put health first** Humana Healthy Horizons in Indiana is seeking a Senior Provider Education & Outreach Professional to develop and grow positive, ... the contracted working relationship with the health plan. The Senior Provider Education & Outreach Professional work...explain Humana systems, etc. + Serves as a relationship manager with LTSS, Skilled Nursing Facilities, HCBS providers and/or… more
- CVS Health (Austin, TX)
- …and/or alternatives to meet business needs typically tied to a key Aetna Medicaid provider communications. This role will be responsible for developing and ... to effectively engage with practitioners, hospitals, and specialists within the Medicaid markets. Sets strategic communications direction for team and/or complex… more
- Molina Healthcare (AZ)
- … engagement experience in a health plan setting.** **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more ... healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs… more
- CVS Health (Austin, TX)
- …affordable. Position Summary- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project ... and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work assignments… more
- Omnicell, Inc. (Fort Worth, TX)
- ** Sr . Manager , Pharmacy Operations Compliance - Remote ** The Sr . Manager , Pharmacy Operations Compliance is responsible for tracking, monitoring, ... Joint Commission (JC) accreditation standards, and Centers for Medicare and Medicaid (CMS) Conditions of Participation relative to the practice of pharmacy… more
- CVS Health (Springfield, IL)
- …and CMS to serve dually eligible individuals. We are seeking a Sr . Manager to oversee our local provider relations and community outreach staff as well ... in this position, the candidate must have demonstrated experience in Medicaid and Medicare, developing dual (specifically DSNP) growth strategies, in managing… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Under direction of the Sr . Director of Regulatory & External Audits, the primary focus areas of this position includes managing ... from external regulatory agencies including but limited to Centers for Medicare & Medicaid Services (CMS), Mass Health, Departments of Insurance, and the Office of… more
