- Molina Healthcare (Jackson, MS)
- …and administration of contracts with State and/or Federal governments for Medicaid , Medicare, Marketplace, and other government-sponsored programs to provide health ... State Health Department mandated laws and rulings. * Comprehensive knowledge of Medicaid , Medicare, and Marketplace policies and programs. + Compliance experience - … more
- Humana (Annapolis, MD)
- …to innovate + **Resides in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....sources. Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and… more
- Teva Pharmaceuticals (Hartford, CT)
- Director Federal Accounts & Medicaid (V&A) Date:...not covered by the AD's. Location: This is a remote position. **How you'll spend your day** All areas of ... objectives are met on an annual basis. As well, the Director is responsible for providing Medicaid specific strategic direction to the Regional Account team for… more
- UTMB Health (Galveston, TX)
- Director of Finance Government Reimbursement (Medicare, Medicaid ) - Government Reimbursement **Galveston, Texas, United States** Executive - Business ... in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement experience at… more
- Humana (Madison, WI)
- …responsible for all growth-related initiatives and communications to iCare and Inclusa Medicaid products. The Associate Director , Market Development requires a ... first** Become a part of our dynamic Wisconsin leadership team as the Associate Director , Market Development. The Associate Director , Market Development, is… more
- Molina Healthcare (Madison, WI)
- …**Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, ... delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors… more
- Intermountain Health (Murray, UT)
- …needs of MA and Medicaid products across multiple states. The Medicare and Medicaid Marketing Director reports to a Market President at Select Health. This ... **Job Description:** The Director develops the strategic direction of marketing and...communications campaigns for Select Health's Medicare Advantage (MA) and Medicaid lines of business. This position will leads Marketing… more
- Highmark Health (Albany, NY)
- …Description :** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the ... The incumbent will collaborate with the organization's government markets and Medicaid leadership committees to coordinate the implementation of new programs and… more
- Molina Healthcare (Grand Rapids, MI)
- …The AVP Proposal Strategy is dedicated to maximizing Molina's likelihood of winning Medicaid RFPs. The AVP must have the executive presence and communication skills ... as a key leader on individual bid responses, working closely with the Proposal Director , and writing leads to support the development of drafts tying in the market's… more
- Humana (Topeka, KS)
- …health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is accountable for working with the Director , ... driving efficient management of end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting… more
- RWJBarnabas Health (Oceanport, NJ)
- Director , Corporate Reimbursement (Hybrid/ Remote ) - Oceanport, NJReq #:0000180233 Category:Professional / Management Status:Full-Time Shift:Day ... Reimbursement Location: SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Director will serve as a key resource to department leadership for… more
- Danaher Corporation (Atlanta, GA)
- …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
- Prime Therapeutics (Lansing, MI)
- …Title** Product Director - State Public Sector Business Development - Remote **Job Description** This Business Development Product Director is accountable ... commercial products to shape it for state public sector, Medicaid FFS business. + Pulls in account team "Product...to amend product for FFS, including pricing revision for Medicaid FFS + Staffs the Product Review Committee for… more
- Prime Therapeutics (Carson City, NV)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... client services experience in healthcare or pharmacy benefit management, preferably in Medicaid . + 5 years of leadership / people management experience. + Must… more
- Molina Healthcare (Green Bay, WI)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... of value-based care (VBC) programs across all lines of business- Medicaid , Medicare, and Marketplace. This role is critical in...with quality outcomes, health equity, and cost-effective care. The Director will serve as the enterprise lead for VBC… more
- Evolent (St. Paul, MN)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Mathematica (Washington, DC)
- Director of Data Science ( Remote Eligible) **Job ID** 2255 **Position Description:** Mathematica applies expertise at the intersection of data, methods, policy, ... our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are seeking a motivated ** Director of Data Science** to lead a practice of… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Consultant Relations - Remote **Company Indicator:** ... various other providers, etc), the various lines of business (Commerical, Medicare, Medicaid , etc) and the various healthcare services provided in the overall… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary The Senior Director , Claims & Provider Reimbursement, is responsible for oversight of health plan claims ... (National Committee of Quality Assurance (NCQA), Centers of Medicare and Medicaid Services (CMS)) + Develops and maintains positive, effective working relationships… more
- Molina Healthcare (Dayton, OH)
- …with business and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business ... stakeholders to manage priorities deliveries and expectations. **Job Qualifications** **Required Education** Graduate Degree or equivalent combination of education and experience **Required Experience** 7-9 years Application Design, Development Experience and,… more
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