- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners,… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5 or more years' experience as an operational project manager - 3 or more years' experience working in healthcare, health ... instED operations, from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation of instED's growth… more
- Commonwealth Care Alliance (Boston, MA)
- …and utilization management systems and workflows. - Experience managing delegated provider contracts and oversight programs. - Project management skills with the ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Commonwealth Care Alliance (Boston, MA)
- … contract performance metrics + Experience with Medicare Advantage, Medicaid ; and dually eligible populations **Desired Experience** + Experience managing or ... 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and… more
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
- CVS Health (Columbus, OH)
- …and every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral ... cross-functionally to develop provider compensation and pricing strategies and manages contracts through language and compliance reviews. Serves as a liaison to… more
- Prime Therapeutics (Jefferson City, MO)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- US Tech Solutions (Clemson, SC)
- …+ This project includes making federally mandated changes for the medicaid system of sc. This position will perform configuration management technician duties ... **Job Description:** **Duration: 12 months contract (with possible extension)** **COMPANY / DEPARTMENT CULTURE...to contribute with minimal supervision and be self-motivated. The project demands individuals who are strong collaborators, who want… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of ... correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR) assists PSR… more
- Ascendis Pharma (Princeton, NJ)
- …specialty pharmacy, and/or GPO agreements (eg, rebate, discount, and data sharing contracts ). + Operational Execution: Oversee contract set-up, terms validation, ... their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): * 5 or more years' experience as an operational project manager * 3 or more years' experience working in healthcare, health ... instED operations, from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation of instED's growth… more
- DATAMAXIS (IL)
- Job Title: Data Analytics Project Manager Location: US (with travel to Springfield, IL 1 - 2 times per year) As a Project Manager in Data Analytics, ... with tools such as Teradata, Informatica, SAS, Business Objects, and Microsoft Project * Experience managing contracts over $5M and leading change/risk… 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
- City of New York (New York, NY)
- …NYACH the City's Industry Partnership for the healthcare sector seeks an experienced Project Manager to drive initiatives that strengthen New York City's ... Job responsibilities will include, but are not limited to: Administrative Support, Project Management & Stakeholder Engagement: - Assist the Executive Director and… more
- Molina Healthcare (Dayton, OH)
- …experts. Builds work breakdown structures, monitors task activities, and ensures state contract timelines are met. Monitors the project from inception through ... to manage resources, mitigate risks, and ensure stakeholder satisfaction. Although a project management role, this role will be assigned some operations initiatives… more
- NTT America, Inc. (Baltimore, MD)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a APD Manager to join our team in Baltimore, Maryland (US-MD), United States (US). ... members to coordinate, track, monitor, create, and update the Medicaid APDs as needed. He/she will actively participate in...the client to develop requests for federal funding APDs, contract amendments, and business requirements for a broad array… more
- Point32Health (Canton, MA)
- …internally; and take a leadership role in collaboration with Procurement during contract negotiations. The Manager will frequently present upon the effectiveness ... to both internal senior leaders and external stakeholders. + **Strategy Development and Project Management** : The Manager will support department leadership in… more
- Commonwealth Care Alliance (Boston, MA)
- …and utilization management systems and workflows. * Experience managing delegated provider contracts and oversight programs. * Project management skills with the ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Washington County (Stillwater, MN)
- …Department to assure that client needs are appropriately met: 23. Manage contracts and contract compliance, including negotiating terms, resolving issues, ... Economic Supports Division Planning and Program Manager Print (https://www.governmentjobs.com/careers/washingtonmn/jobs/newprint/5128384) Apply Economic Supports Division… more
- Molina Healthcare (Carson City, NV)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits &… more
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