- Humana (Louisville, KY)
- …thinking capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical ... 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 (Hartford, CT)
- …suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk ... Risk Adjustment will work closely with cross-functional leadership across the Medicaid business to establish and champion a local market culture committed to… more
- Novo Nordisk (Plainsboro, NJ)
- …a deep understanding of landscape, changes, and trends in the Commercial, Medicare, Medicaid , Health Insurance Exchange (HIX) channels across all NNI therapeutic ... for helping people live better lives and our award-winning product pipeline can only be as effective as our...areas, with a focus on the Medicaid channel. Supports execution across the healthcare ecosystem using… more
- Humana (Richmond, VA)
- …as a whole. **Responsibilities** + **The CIO is dedicated full-time to the Virginia Medicaid product lines and must reside in the state of Virginia** + ... are in significant conflict with Humana IT's development timelines. + Serves as the ' Senior Business Architect' for Medicaid , with a strong understanding of how… more
- UPMC (Pittsburgh, PA)
- …you'd like to do, UPMC has a place for you._ **UPMC Health Plan's Medicaid /Government Product actuarial team is seeking an Actuarial Analyst III to support ... and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to...on corporate projects. Receives assistance from either management or senior positions when necessary. The Medicaid actuarial… more
- CVS Health (Frankfort, KY)
- … markets and applies this to a growth strategy with the goal of expanding the Medicaid business. The Senior Manager will be a strategic and critical thinker who ... to make health care more personal, convenient and affordable. Position Summary Aetna Medicaid 's Growth & Strategy team is responsible for the pursuit of new … more
- WellSense (Boston, MA)
- Nurse Care Manager ( Senior Care Product ) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and ... join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health...Excellent clinical and assessment skills + Experience with the Medicaid , Medicare, and Senior population + Experience… more
- Conduent (Atlanta, GA)
- …a culture where individuality is noticed and valued every day. **Job Description:** ** Senior Product Manager, Pharmacy Benefit Solutions** **Are you a seasoned ... Role:** Join our dynamic team at Conduent as a Senior Product Manager. In this key role,...revenue growth/forecasting. Your expertise in Pharmacy Benefit Management, including Medicaid , Fee for Service, and Managed Care, will be… more
- Humana (Columbus, OH)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support the...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Tallahassee, FL)
- …Professional serves as the designated market Compliance Officer for the Florida Medicaid contract. The Senior Compliance Professional will analyze business ... minimizes compliance risk exposure for the Company. As a Senior Compliance Professional for our Medicaid business,...as necessary; + Work across Humana operational units and product lines to enhance data analytics and operational improvement… more
- Humana (Frankfort, KY)
- …to assigned health plan and/or specialty companies relative to Medicare/ Medicaid /TRICARE product implementation, operations, contract compliance, and federal ... contract application submissions. The Senior Market Development Professional work assignments involve moderately complex to complex issues where the analysis of… more
- J&J Family of Companies (Raritan, NJ)
- Senior Analyst, Government Rebate Operations (GRO) Contracts - 2406183415W **Description** Johnson & Johnson Health Care Systems Inc. (JJHCS), a member of Johnson & ... Johnson's Family of Companies, is currently recruiting for a ** Senior Analyst, Government Rebate Operations (GRO) Contracts** to support our Enterprise Contract… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... and LinkedIn. **Brief summary of purpose:** The Financial Accounting and Reporting Senior Accountant is a strategic partner to management across the organization.… more
- Point32Health (Canton, MA)
- …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Vice President, Network is responsible for leading network strategy and ... operations, including strategic initiatives for achieving growth, affordability, product , and local market objectives. **Key** **Responsibilities/Duties** **- what… more
- Arvinas (New Haven, CT)
- …and accelerate the development and enhance the commercial potential of its product candidates. \#TeamArvinas is made up of approximately 450 passionate and curious ... key member of the Market Access Leadership team, the Senior Director, US Pricing & Contracting Strategy will lead...capability and organization to prepare for current and future product launches. + Design and develop pricing models to… more
- Mathematica (Columbus, OH)
- …such as the Centers for Medicare and Medicaid Services, State Medicaid or Children's Health Insurance Programs, Departments of Health or provider ... strength. Read more about our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance The * Senior Data Security Analyst* will lead efforts in data… more
- Providence (Irvine, CA)
- … Services (CMS) + Superior knowledge of the regulatory requirements of healthcare insurance , specifically the Center for Medicare & Medicaid Services (CMS), ... **Description** The Senior Director, Individual Market Sales & Broker Strategy,...expected to provide proof of driver license and auto insurance upon request. See policy for additional information. +… more
- Humana (Columbus, OH)
- …with regulatory requirements, focusing on marketing, agents, sales, as well as product offerings, development, and filings. The Senior Compliance Professional ... requires an in-depth evaluation of variable factors. For our Dental and Vision insurance products, the Senior Compliance Professional shall: + Develop and… more
- Bristol Myers Squibb (North Las Vegas, NV)
- …the pharmaceutical industry in the payor space + Extensive knowledge of the Medicaid /Medicare environment, payor market commercial insurance , as well as the ... . Reporting into the Medical Value Liaison Field Director, the Senior Medical Value Liaison (MVL)/Executive MVL is a field-based role focused… more
- Trinity Health (Livonia, MI)
- …impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such regulatory changes. ... to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare, Medicaid , Blue Cross and Tricare cost reporting for the Trinity Health… more