- Abbott (Livermore, CA)
- …team responsible for following: payor contract negotiation, payor contract implementation, payor contract monitoring, Medicare/ Medicaid enrollment, ... multiple) of the following fields: DME, IDTF, hospital administration, Medicare, Medicaid , commercial payors + Experience leading regulatory audits, either as… more
- Elevance Health (Cincinnati, OH)
- Provider Success Consultant Sr . (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... minimum of 50% of the time. **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our...drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate… more
- CVS Health (Chicago, IL)
- … Managed Care business segment environment with exposure to benefits and/or contract interpretation * Medicaid Regulatory Standards for Network Access, ... compliance within our network responsibilities as provided within the state Medicaid contractual requirements. This position holds a variety of functions for… more
- Catholic Health Initiatives (Lufkin, TX)
- …to the financial performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and follow through on ... patient data repository and cost accounting system (McKesson Performance Manager ). Tasks include: * Work with department managers to...the attention of management. * Able to perform Payer Contract Compliance Audits to identify payers at risk as… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting, the Senior Provider ... of own performance, establishing business goals and goals for self-development. + Assist Senior Manager and Director of Contracting and will represent the… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a critical role in ... Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations… 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 ... This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and rebate agreements… more
- AdventHealth (Maitland, FL)
- …estimating month-end net patient revenue for the Florida division. This position assists the Sr . Contract Manager with ensuring that preferred contract ... role you will contribute:** This position is responsible for contract review and interpretation; as well as, the building...* Performs special projects and tasks as requested by senior staff and leadership. * Supports the overall mission… 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
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Housing Contract Manager (** ** Senior Healthcare Data Specialist) in Albany, NY** ... works to integrate health and human services within the Medicaid program. The bureau is composed of two units,...obtaining supportive housing. **Duties of the position include:** + Contract management and fiscal management of a portfolio of… more
- Staffing Solutions Organization (Albany, NY)
- …and the people they serve. ** Senior Healthcare Data Specialist (Social Care Contract Manager ) in Albany, NY** **Division of Program Development & Management ... works to integrate health and human services within the Medicaid program. The bureau is composed of two units:...integral part of the team. + Provide technical assistance, contract management, and performance monitoring of Social Care Networks.… more
- Commonwealth Care Alliance (Boston, MA)
- …and drive both program-wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… 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
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships with ... payer relationships, from business development and payer pitches through contract negotiations and long-term account management, ensuring partnership success and… more
- Providence (Irvine, CA)
- …and retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or ... member, in significant negotiations with Payors for acceptable reimbursement terms and contract languages for all entities with continuum of care + IE Hospitals,… 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
- CVS Health (St. Paul, MN)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager , Custom Formulary Consultants (CFC) role on the CFC team is a ... trend. You will work with multiple customer market segments (ie, Commercial, Managed Medicaid , Med D, Exchange formularies). This role is not solely client facing.… more
- Centene Corporation (Jefferson City, MO)
- …for assigned products across the entire company + Ensure all Medicare and Medicaid product and services are being tested for compliance with program regulations, ... for business entities + Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures + Develop policies, procedures,… more
- TEKsystems (Montgomery, AL)
- …services, and multiple modular systems from multiple vendors. The PMO services contract includes Medicaid Enterprise Architecture services and Technical Advice ... Description The Alabama Medicaid Agency (AMA) is modernizing its Medicaid...on a multi-year effort in the role of AMMP Sr Enterprise Architect to report to the MES Associate… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …HHS health, regulatory, or human services programs. Responsibilities Serves as a senior Contract Specialist, performing all contract administration functions ... Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). As a Contract Specialist...a waiver: When filling a specific vacant position, the senior procurement executive of the selecting agency, at his… more