• Sr . Manager , Medicaid

    Sumitomo Pharma (Washington, DC)
    …seeking a dynamic, highly motivated, and experienced individual for the position of Sr . Manager , Medicaid Contract Administration. This position ... is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
    Sumitomo Pharma (07/09/25)
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  • Provider Network Manager Senior

    Elevance Health (Ashburn, VA)
    **Provider Network Manager Senior ** Carelon Behavioral Health _Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... insightful analytics to improve the delivery of care. The **Provider Network Manager ** develops the provider network through contract negotiations, relationship… more
    Elevance Health (07/09/25)
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  • Senior Strategy Advancement Professional

    CenterWell (Washington, DC)
    …of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more
    CenterWell (06/24/25)
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  • Director, Federal Affairs

    Humana (Washington, DC)
    …sector, and business communities. + Work closely with the VP, Federal Affairs PAC manager , and other senior Corporate Affairs leaders on various PAC activities, ... and/or advocacy roles. Positions within committee, leadership offices, or other senior government roles within the executive branch are highly preferred.… more
    Humana (06/28/25)
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  • Director II Provider Economics - Value-Based…

    Elevance Health (Ashburn, VA)
    …to support the design of new provider reimbursement methodologies across Medicare, Medicaid , and Commercial lines of business. * Measure and report on program ... enterprise analytics teams to deliver actionable insights on provider economics, contract structures, and affordability strategies. * Leverage modeling tools to… more
    Elevance Health (07/04/25)
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