- CVS Health (Annapolis, MD)
- …complex contracting options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland ... cost initiatives. **Responsibilities** **include:** + Analyzes market needs and opportunities for network expansion, identifies gaps in the existing network , and… more
- CVS Health (Frankfort, KY)
- …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
- CVS Health (Lansing, MI)
- …systems, large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and ... each and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** Aetna is recruiting for a Manger on the Medicaid VBC Analytics team to support VBC partnerships throughout Aetna's Medicaid ... an individual contributor, you will partner collaboratively and cross functionally with Network , health plan and VBC strategy customers as well as multiple business… more
- The Salvation Army (Oswego, NY)
- …and recognizes their employee's success, we encourage you to apply today! Seeking aFull Time Senior Enhanced Care Manager on our Oswego Corps Team Our Full Time ... . Wireless discount for Verizon customers . Free parking SCOPE AND PURPOSE OF POSITION: Senior Enhanced Care Manager will serve as coordinator of Care Manager… more
- The Salvation Army (Syracuse, NY)
- Overview Seeking a Senior Enhanced Care Manager to join our Divisional Headquarters Team Our Full Time opportunities offer: + Generous time off every year ... Program + Tax Deferred Annuity (403B) + Christmas Bonus SCOPE AND PURPOSE OF POSITION: Senior Enhanced Care Manager will serve as coordinator of the Care … more
- Providence (Kodiak, AK)
- **Description** The Senior Manager of Facility Operations provides effective leadership for Providence Kodiak Island Medical Center (PKIMC) and its co-located ... on Accreditation of Healthcare Organizations (JCAHO), Centers for Medicare and Medicaid Services (CMS), Department of Health (DOH), and other regulatory agencies.… more
- Providence (Santa Monica, CA)
- **Description** Senior Contract Sourcing Program Manager at Providence Saint John's Health Center in Santa Monica, CA. This position is Full time and will work ... rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Purchased Services and Physician Contracting provides contract negotiation… more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex… more
- Erickson Living (Warminster, PA)
- …Ann's Choice by Erickson Senior Living Join us as a Business Office Manager . In this role, you will oversee financial and billing data for Continuing Care ... and insurance information requests when applicable + Monitor the Medicaid Pending applicants and maintain the Medicaid ...Bucks County, Pennsylvania. We're part of a growing national network of communities managed by Erickson Senior … more
- CenterWell (Phoenix, AZ)
- …relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health + Responsible ... and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five...insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- Healthfirst (NY)
- …system via our value-based model. **More about the team, and the role:** As Manager , Risk Score Accuracy your role will be critical towards our efforts to understand ... (3 days on-site) 100 Church Street, NYC **Summary:** The Manager , Risk Score Accuracy is responsible for managing risk...and identifying areas of opportunity for Healthfirst and hospital senior management. You will be the lead on a… more
- Providence (Santa Monica, CA)
- …Be a part of our distinguished team dedicated to excellence in patient care. Senior Radiation Therapist at Providence Saint John's Health Center in Santa Monica, CA. ... 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Responsible for assisting the department supervisor, manager ,… more
- Providence (Fortuna, CA)
- **Description** Senior Environmental Services Technician at Redwood Memorial Hospital in Fortuna, CA. This position is Per Diem and will work 8-hour, Night shifts. ... Under the immediate supervision of the Manager of Environmental Services, the Environmental Services Worker performs...a 5-star rating from the Center for Medicare and Medicaid Services (CMS) as well as a Top Performing… more
- 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
- Point32Health (Canton, MA)
- …products serving under and over 65 members in Massachusetts ("One Care", and " Senior Care Options"). The Performance Manager leads Duals Products performance key ... are at Point32Health (https://www.point32health.org/) . **Job Summary** The Performance Manager (Product Strategy) is responsible for supporting product strategy… more
- LA Care Health Plan (Los Angeles, CA)
- …plan partners' audit and quarterly financial analysis of their Medi-Cal provider network . Communicates effectively with senior leadership on compliance matters ... Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS...the plan partners' oversight activities of their Medi-Cal provider network . Manages all aspects of running an efficient and… more
- Bassett Healthcare (Cooperstown, NY)
- …340B Drug Pricing Program for all qualified entities throughout the Bassett Health Network . The 340B Manager serves as the primary institutional compliance ... the best quality of life possible. What you'll do Reporting to the Chief Pharmacy Officer, the 340B Manager is responsible for compliance and administration of the… more
- Molina Healthcare (Jackson, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, ... the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider education,… more
- Erickson Living (Springfield, VA)
- …Greenspring Village by Erickson Senior Living Join our team as a Sales Manager . In this role you are responsible for managing the health care sales team to ... timely manner. + Maintain current knowledge of Medicare and Medicaid coverage changes, Managed Care information, and other relevant...in Springfield, Virginia. We're part of a growing national network of communities managed by Erickson Senior … more