- 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 incumbent will collaborate with the organization's government markets and Medicaid leadership committees to coordinate the implementation of new programs and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager , Managed Care Contracting, Regional & Medicaid (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... to make a difference with. **The opportunity** The Sr. Manager of Managed Care Contracting, Regional & Medicaid...responsible for drafting, reviewing, and supporting the execution of contracts with Regional Payers and Medicaid stakeholders.… more
- UPMC (Pittsburgh, PA)
- The Program Manager , Medicaid Product Planning, will develop, implement, and oversee initiatives for UPMC for You's Medicaid Product Planning department to ... and ensure that established targets are met. The Program Manager will report to the Director, Medicaid ...established programs based on business needs. + Assist with contract development, review, oversight, and monitoring related to product… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Manager , Strategic Communications develops the overall communication strategy and supporting communication plans for ... Medicaid and ACA (Affordable Care Act) that produce effective...resources to ensure successful implementation of strategies developed. Attend project meetings, providing strategic insight, presenting overview of initiatives… more
- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Contracts and Pricing Execution, Senior Manager ** **What you will do** Let's ... do this. Let's change the world. The Contracts and Pricing Execution, Sr. Manager , will...requirements under federal programs including Centers for Medicare and Medicaid (CMS) programs, the Federal Supply Schedule, and the… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for ways to optimize contracts and enhance BI value. + Assist the Contract Development team in providing insightful business cases that include a gap analysis on ... and Manage the 340B dispute process for either State Medicaid Program, Covered Entities and/or PBMs. + Participate in...lead in the development of SOP's specific to managing contracts and contract data to ensure standardization… more
- Abbott (Austin, TX)
- …Our team in **Austin, TX (or Alpharetta, GA)** is looking for a ** Contract Strategy & Business Engagement Manager ** **.** This person will spearhead ... the development, execution, and optimization of contract pricing strategies for all Cardiovascular contracting businesses. This role entails shaping and deploying… more
- Elevance Health (Washington, DC)
- …Network Contract Coordinator** is responsible for managing and negotiating contracts with large home health (HH), durable medical equipment (DME), large vendors ... contract specialists responsible for managing specific payer relationships and contracts , ensuring the contract administration goals are obtained and… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Consult Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 ... one of our Elevance Health PulsePoint locations. The **Provider Contract Cost of Care Consult Senior** is responsible for...most complex, large scale enterprise-wide initiatives and acts as project lead. Acts as a strategic partner to management.… more
- Stony Brook University (Bohemia, NY)
- Care Manager , Sayville Project **Required Qualifications (as...and skills to assume the role of the Care Manager in the Medicaid Health Home Initiative. ... public entitlements and advocacy. **Brief Description of Duties:** The Care Manager provides field-based care management services to adult persons with psychiatric… more
- NTT DATA North America (Albany, NY)
- …of job** **:** The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall responsibility ... now. We are currently seeking a MES Quality Assurance Project Manager to join our team in...function overseeing MES projects over the life of the contract or the system, whichever comes first. The MES… more
- System One (Dayton, OH)
- Title: Project Manager ALTA is supporting a 6-month contract opportunity working 100% remote. ALTA IT Services is a wholly owned subsidiary of System One, a ... Data & Advanced Analytics, and Agile Transformation Services. The Project Manager II is responsible for managing...+ Familiarity of healthcare payer industry and knowledge of Medicaid and Medicare a plus Licensure and Certification :… more
- System One (Dayton, OH)
- Title: Project Manager ALTA is supporting a 6-month contract opportunity working 100% remote. This person must have a strong domain expertise in Claims and ... Facets experience. The Project Manager II is responsible for managing...lifecycle (ideally Agile) + Familiarity of and knowledge of Medicaid and Medicare a plus Licensure and Certification: +… more
- State of Massachusetts (Boston, MA)
- This Program Manager for Policy and Contracts on the Accountable Care and Behavioral Health (ACBH) Accountable Care and Policy Innovation Team will play a ... the ACO program and Community Partners program. The Program Manager for Policy and Contracts will be...supporting new and refined policy into ACO and MCO contracts , including overseeing contract development, amendments, and… more
- TEKsystems (Honolulu, HI)
- …experience. Experience with a highly regulated industry. Experience negotiating contracts and/or vendor/ contract management. Communicate clearly and concisely, ... (1) developing, reviewing and evaluating financial proposals related to contract negotiations with providers, and (2) preparing, examining, analyzing, negotiating,… more
- LA Care Health Plan (Los Angeles, CA)
- …provider contracts , and provider performance and needs. The Account Manager III leverages that information to identify, develop, and conduct relevant and ... to comply with State and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager III is responsible for… more
- Nestle (Bridgewater, NJ)
- …Medicaid , and other government channels. * Oversee end-to-end contract lifecycle management, including offer evaluation/financial modeling, execution, and ... for patients and consumers. **Job Description:** The Senior Government Pricing and Contracting Manager for Nestle Health Science USA will play a critical role in… more
- Henry Ford Health System (Troy, MI)
- …that will evaluate and analyze contract proposals including reviewing/revising contract language and operational requirements. 2. Review contracts with ... leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health plans. PRINCIPLE DUTIES AND… more
- System One (Baltimore, MD)
- …Benefits Manager Consultant Client: Health Insurance Organization Location: Remote Contract Type: Contract -to-Hire Rate: $120/HR Job Summary ALTA IT Services ... is seeking an experienced Pharmacy Benefits Manager Consultant for a contract -to-hire engagement with...vendor management, and driving overall business readiness. Key Responsibilities Project Leadership & Accountability + Lead and manage the… more
- Humana (St. Paul, MN)
- … contracts and managing vendor relationships. + Knowledgeable in project management methodologies, tools, understanding of IT products and services, including ... bottom line (hard savings, contractual entitlements and restrictions, expiring contracts , software assessments, consolidating the IT supply base, alongside… more
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