- 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 ... outcomes. The incumbent will collaborate with the organization's government markets and Medicaid leadership committees to coordinate the implementation of new… more
- NTT America, Inc. (Little Rock, AR)
- …Health Care systems * Minimum 5 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations * ... and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We… more
- Humana (Jackson, MS)
- …provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation , operations, contract compliance, and federal ... of diverse scope and complexity ranging from moderate to substantial. The Medicaid Market Development Advisor serves as the primary resource on regulations for… more
- CVS Health (Jackson, MS)
- …Qualifications** + 3 to 5 years Medicaid experience + 2 to 3 years contract management and processes + 2 to 3 years project management experience ... Platform Solutions - Contracts & Pricing Team to support Medicaid Contracting IT projects in Conga and to provide...of ECOM releases for Conga + Assist with ongoing management of Conga system enhancements and fixes + Ongoing… more
- CareFirst (Baltimore, MD)
- …develops the overall communication strategy and supporting communication plans for Medicaid and ACA (Affordable Care Act) that produce effective and precisely ... to support strategy. Direct all support resources to ensure successful implementation of strategies developed. Attend project meetings, providing strategic insight,… 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...advice, analytic and consultative support to Medical Directors and management on cost of care issues. Leads large scale… 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 innovative pricing… more
- Mount Sinai Health System (New York, NY)
- …are a plus. **Experience Requirements** + Minimum 3-5 years of experience in contract management , coding, and analysis in a healthcare setting. + Experience ... interpret complex contract terms and financial data. + Proficient in contract management systems, modeling software, and financial reporting tools. +… more
- MyFlorida (Tallahassee, FL)
- …drafting contract scopes of services and amendments that improve management capabilities and operational procedures; reviewing and analyzing contract budgets ... entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000...the intent and scope of work outlined in the contract ; working with vendor(s) and AHCA Finance and Accounting… more
- CVS Health (Raleigh, NC)
- …Carolina. These responsibilities include leading all aspects of the plan including implementation of all contract requirements, ownership of profit and loss ... for program implementations; coordinating with internal resources to implement contract requirements; communicating ongoing implementation progress with… more
- Prime Therapeutics (Harrisburg, PA)
- …Medicare, and Medicaid ). This individual is the primary relationship and contract owner for their assigned account/s and oversees a cross-functional account ... and drives every decision we make. **Job Posting Title** AVP Account Management - REMOTE (FL Preferred) **Job Description** The Assistant Vice President Client… more
- NTT DATA North America (Albany, NY)
- …vulnerability management and cyber security policies related to the Medicaid Transformation program. + Directs and oversees the development and implementation ... and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We… more
- Humana (Indianapolis, IN)
- …company committed to improving the health of the communities it serves. The ** Medicaid Capture Management ** team's purpose is to successfully position Humana to ... This role will work horizontally across the organization, coordinating with Medicaid leadership and operational subject matter experts to synthesize, assess, and… more
- MyFlorida (Tallahassee, FL)
- …ensure compliance with federal regulations, statutes, administrative rules, the Florida Medicaid State Plan, contract requirements, and policies and procedures. ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- Humana (Schaumburg, IL)
- …our caring community and help us put health first** The Associate VP, Care Management leads teams of nurses and behavior health professionals responsible for care ... management . The Associate VP, Care Management requires...person-centered, integrated care is provided to Illinois Medicare and Medicaid members. They promote these goals by training, leading,… more
- State of Minnesota (St. Paul, MN)
- …assigned grant and contract processes related to capacity building and implementation grants for the Medicaid reentry demonstration waiver during pre-award, ... engagement related to county and jail capacity building in preparation for implementation of Medicaid service delivery under 1115 reentry waiver authority.… more
- MyFlorida (Tallahassee, FL)
- …in the Agency for Health Care Administration and reports directly to the Knowledge Management and Program Training Lead. FX is tasked with the modernization of the ... AHCA MES ( Medicaid Enterprise Systems), driving a transformation of people, business...business and technology in this transformation. Assist the Knowledge Management and Program Training Lead in the execution of… more
- Prime Therapeutics (Carson City, NV)
- …+ 8 years of relevant client services experience in healthcare or pharmacy benefit management , preferably in Medicaid . + 5 years of leadership / people ... we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director of...with the client in order to maximize client satisfaction, contract renewals and the adoption of new or expanded… more
- CVS Health (Springfield, IL)
- …do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs ... to oversee and maintain provider risk management and positive relationships supporting high value initiatives with our Network Providers. This role acts as the… more
- City of New York (New York, NY)
- …Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring (CCM), Investigation, Revenue and Enforcement Administration (IREA), ... Office of Data Security Management (ODSM) and the Accountability Initiative and Change Monitoring (AICM). Within Accountability Strategies, the Office of Data… more