- Daiichi Sankyo, Inc. (Bernards, NJ)
- …knowledge of all channels of managed care environment in the US (commercial, Medicare, Medicaid , etc.); preferredSufficient understanding of financial ... diseases and immune disorders. SummaryThe purpose of the Senior Director , Forecasting & Business Analytics is to lead the...revenue forecasting process for all in line and pre-launch US products, both oncology and non-oncology. Leads the team… more
- Institute for Healthcare Improvement (Boston, MA)
- …improvement in health and health care worldwide. Position Summary: Reporting into the Project Director overseeing the CMS Battelle- Quality Measurement work, the ... Institute for Healthcare Improvement Senior Project Research Associate Scheduled Hours Full Time Employment...of the following federal agencies: Centers for Medicare & Medicaid Services, Department of Veterans Affairs, Agency for Healthcare… more
- PacificSource (Portland, OR)
- …with state and federal regulations, operations training, performance measurement, project prioritization and operational capacity planning, among other duties. ... Develop and monitor departmental budgets. Oversee Medicare Advantage and Medicaid operations to ensure regulatory compliance and effective internal controls.… more
- Baton Rouge General (Baton Rouge, LA)
- …Participation Familiarity with reimbursement models (Commercial, Managed Care, Medicare, Medicaid ) Solid understanding of healthcare law, clinical trajectories, and ... post-acute transitions Effective verbal/written communication and strong analytic, project management, and computer skills Ability to manage multiple priorities in a… more
- Humana (Raleigh, NC)
- … PLAN AND THE IDEAL CANDIDATE MUST RESIDE IN NORTH CAROLINA. The North Carolina Medicaid Provider Services Director leads a team that is accountable for growing ... **Become a part of our caring community and help us put health first** THIS POSITION IS DEDICATED TO NORTH CAROLINA MEDICAID… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- NTT DATA North America (Chicago, IL)
- … Manager to join our team in Chicago, Illinois ( US -IL), United States ( US ). Position's Overview The Project Manager will plan, direct, coordinate, ... the client and make recommendations to client leadership. In collaboration with the Program Director , the Project Manager will lead a team to ensure business… more
- Staffing Solutions Organization (Albany, NY)
- …policy development and implementation. **Primary responsibilities include:** + Assisting Bureau Director , Medicaid Program Manager, and Integrated Care Team in ... which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor: Behavioral Health in Albany, NY** **Division of Program Development &… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …Behavioral Health Clinic (CCBHC) Project Director Augusta , Maine , United States | Community & Social Services | Full-time | Partially remote Apply ... officially launched in March 2025 through the federal CCBHC Medicaid Demonstration, there is ongoing work to onboard additional...delivery system changes to reach intended outcomes. The CCBHC Project Director provides overall project … more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Consumer Experience Lead ensures optimized interaction between a company and members. The ... to speak up and voice opportunities to improve the member experience. Advises Director of Consumer Engagement and OH Market leaders to develop functional strategies… more
- J&J Family of Companies (Santa Clara, CA)
- …Economics Market Access **Job Category:** Professional **All Job Posting Locations:** Dallas, Texas, United States , Horsham, Pennsylvania, United States ... States of America, New Brunswick, New Jersey, United States of America, New York, New...process and collaborate on activities related to Medicare, State Medicaid , and US Military Health initiatives. +… more
- Ascendis Pharma (Princeton, NJ)
- …fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States . Today, we're advancing programs in Endocrinology Rare ... of US payer landscape, including commercial payers, PBMs, Medicare, Medicaid , IDNs, and VA/DOD + Demonstrated knowledge of payer decision-making for formulary… more
- NTT America, Inc. (Baton Rouge, LA)
- …currently seeking a Engagement Director to join our team in Baton Rouge, Louisiana ( US -LA), United States ( US ). **Role Summary** : Oversees the ... innovative and passionate individuals who want to grow with us . If you want to be part of an...overall engagement with stakeholders, ensuring project alignment with client objectives and maintaining high levels… more
- Humana (Montpelier, VT)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- Humana (Salem, OR)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- UTMB Health (Friendswood, TX)
- Physician - Community Based Clinics, Value Based Care Director **Friendswood, Texas, United States ** **Hot** Physician UTMB Health Requisition # 2502256 ... of the institution. The Community Based Clinic (CBC) Community Value Base Care Director will collaborate with the UTMB Health Directors and School of Medicine… more
- Humana (Bismarck, ND)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... Director work assignments involve moderately complex to complex issues...moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Mathematica (Washington, DC)
- …strategic team focused on, but not limited to, the Centers for Medicare and Medicaid Services (CMS). The Sr. Director is responsible for responsible for ... Sr. Director , Client Partner Team **Job ID** 2295 **Position...and advisory services teams. + Stay connected to technical project delivery by serving in a high-level oversight role… more
