• Payer Contracting Senior Manager

    Intermountain Health (Phoenix, AZ)
    …for the effective management of assigned contractual associations with payers. The Senior Manager is responsible for high-level, strategic accounts that bring ... following states: CA, HI, IL, PA, RI, WA._** The Senior Manager is the liaison between Intermountain...that department processes are aligned with such programs. 8. Project Ownership: As new strategies and organization initiatives are… more
    Intermountain Health (05/12/24)
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  • Senior Pharmacist Account Manager

    Prime Therapeutics (Phoenix, AZ)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... for managing strategic accounts across various lines of business (Managed Medicaid ; Commercial; Medicare; Exchange) under the guidance of the Vice President… more
    Prime Therapeutics (05/10/24)
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  • Aging & Disability Senior Consultant

    Public Consulting Group (Phoenix, AZ)
    …care facilities for individuals with intellectual disabilities (ICF-IID) . Serves as project manager and subject matter expert on community LTSS programs ... to elicit feedback to inform contract tasks. . Identifies project gaps and risk mitigation strategies. . Plans and...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
    Public Consulting Group (02/28/24)
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  • Senior Application Architect

    Humana (Phoenix, AZ)
    …experience as a senior developer in large IT projects + Prior project architect and/or team lead experience + Experience in Agile development environment. + ... preferred) + Healthcare industry experience + Experience with IBM Operational Decision Manager (ODM) + Experience with middle tier integrations (ie Kafka, Message… more
    Humana (04/27/24)
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  • Data Manager Lead

    Humana (Phoenix, AZ)
    …support of Medicaid 's Equitable Population Health Management goals. The Data Manager Lead consults with clinical and business partners and helps them solve ... and help us put health first** Humana Healthy Horizons is seeking a Data Manager Lead who supports all clinical and population health analysis and measurement in… more
    Humana (05/07/24)
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  • Associate Director- Business Systems…

    Humana (Phoenix, AZ)
    …capabilities interrelate across department(s). The Associate Director- Business Systems Manager will report into the Procurement Center for Enablement ('C4E') ... sustainable, repeatable, and quantifiable business system related process improvements. The Manager of Business Systems will work within specific guidelines and… more
    Humana (05/08/24)
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  • Sr. Manager , Business Consultant - Vendor…

    CVS Health (Phoenix, AZ)
    …leadership and critical thinking and problem-solving skills and acumen . Project Management experience . Vendor management experience *Intermediate experience with ... Enterprise, business and team's strategic goals * Strong knowledge of Medicaid , State, and regulatory requirements * Strong interpersonal skills, including ability… more
    CVS Health (04/25/24)
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  • FNP/PA-C - Bilingual Spanish - CenterWell…

    CenterWell (Phoenix, AZ)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 290 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (04/10/24)
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  • IT Cloud Procurement Category Lead

    Humana (Phoenix, AZ)
    …a part of our caring community and help us put health first** The Sr. Manager , Lead Category Manager will report directly into the Director of IT Procurement ... enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, evaluate and recommend products based on user… more
    Humana (04/14/24)
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  • Associate Director, Data Governance

    Humana (Phoenix, AZ)
    …level within a Fortune 100 company + Certified SAFe(R) Product Owner/ Product Manager or equivalent + Project Management Certification (PMP) or Lean Six ... and present technical/financial details to executive level leadership and/or senior level internal and external partners/leaders + Ability to...a high level of ambiguity (Shifting needs, stopping on project and focusing on a new project /task)… more
    Humana (05/10/24)
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  • Sr. Specialist, Provider Engagement (Remote in AZ)

    Molina Healthcare (Phoenix, AZ)
    …Engagement and Health plan experience for this position.** **Knowledge/Skills/Abilities:** The Senior Specialist, Provider Engagement contributes to one or more of ... functions: * Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. * Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (05/02/24)
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