- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- Commonwealth Care Alliance (Boston, MA)
- …engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- Commonwealth Care Alliance (Springfield, MA)
- …and drive both program-wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and ... CA-Provider Engagement & Performance **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Wipfli LLP (Milwaukee, WI)
- …budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Collaborate with internal and client external cost ... plus + Healthcare industry experience that includes post-acute care, skilled nursing or senior living is required + Desired willingness to train and cultivate staff… more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider… more
- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, ... performance. By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role… more
- CVS Health (Columbus, OH)
- …every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health ... years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working knowledge of… 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
- 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
- NTT DATA North America (Albany, NY)
- …of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Project Manager to join our team in Albany, New ... York (US-NY), United States (US). The Senior Project Manager will apply...program information and status across multiple audiences, including the Medicaid executive leadership, project teams, vendors, and… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Project Manager I you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Senior Project Manager I where...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Molina Healthcare (Dayton, OH)
- …to manage resources, mitigate risks, and ensure stakeholder satisfaction. Although a project management role, this role will be assigned some operations initiatives ... monitors task activities, and ensures state contract timelines are met. Monitors the project from inception through delivery. May engage and oversee the work of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Program Manager - Quality Improvement Location: Hybrid | Eagan, ... Minnesota Career Area: Project /Program Mgmt About Blue Cross and Blue Shield of...Cross and Blue Shield of Minnesota is hiring a Senior Program Manager to support our Quality… more
- HCA Healthcare (Nashville, TN)
- …and Qualifications** The Project Manager II works under the supervision of a Senior Project Manager , Project Director, or Senior Project ... **Introduction** Do you have the career opportunities as a Project Manager II you want with your...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- State of Minnesota (St. Paul, MN)
- **Working Title: American Indian Substance Use Disorder Grants Manager ** **Job Class: Grants Specialist Senior ** **Agency: Human Services Dept** + **Job ID** : ... programs, with focus on Indian Health Services funding and its relationship to Medicaid and the Consolidated Chemical Dependency Treatment Fund and to assure that… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior ... leadership to maintain regulatory compliance in healthcare and related human services. The Senior Manager , Compliance reports to the Director of Legal Affairs… more
- Abbott (Abbott Park, IL)
- …the way patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be responsible ... strategies across all ADC brands and customer channels, including Managed Care, Medicaid , Medicare, Retail, and Point of Care (POC). The position supports the… more
- Humana (Charleston, WV)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a...the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within ... BPO service providers. + Familiarity with government pricing implications ( Medicaid , 340B, Medicare Part D) is a plus. +...340B, Medicare Part D) is a plus. + Excellent project management, analytical, and organizational skills. + Ability to… more
- MyFlorida (Tallahassee, FL)
- 68061963 - SYSTEM PROJECT CONSULTANT Date: Oct 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68061963 - SYSTEM PROJECT CONSULTANT Pay Plan: Career Service Position Number: 68061963 Salary: $1,945.56… more
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