- Elevance Health (Winston Salem, NC)
- The Children and Families Specialty Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 1 ... of the six North Carolina Medicaid Regionsof the statewide CFSP Care Management model. This responsibility includesrequired coordination and colocation with… more
- Elevance Health (Durham, NC)
- The Children and Families Specialty Health Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid ... of our Durham office. (The internal company title is Director of Special Programs and Services) How you will...Carolina Medicaid Regions of the statewide CFSP Care Management model. This responsibility includes required… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Director Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4701596) Medicaid Director Salary $149,864.00 - $212,908.80 Annually ... , who serves on Governor Reynolds' Cabinet, Iowa's State Medicaid Director is a key member of...Team, responsible for the direct oversight of all managed care operations, program policy, major IT system enhancements, and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …to the following Medicaid departments: Financial Management and Operations, Medicaid Program Budget, Managed Care Finance, Rate Setting and Audit . The ... Medicaid and is a member of the Medicaid Director 's Executive Team. The CFO provides...respectively. + Participates at the highest levels in LDH Management in planning and developing agency initiatives and coordination… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director Medicaid - Remote Date: Dec... experience + Sales Management , Marketing, Account Management (Trade or Managed Care ), or marketing ... market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts...Preferred Drug List (PDL) access, pull through and resource management for Medicaid business + Work collaboratively… more
- University of Colorado (Aurora, CO)
- …Summary:** ** Medicaid Policy Director ** **Examples of Work Performed** ** Medicaid Management /Strategy** + Monitor and assess developments in Medicaid ... ** Medicaid Policy Director Eugene S. Farley,...cross-sector collaboration to integrate behavioral health, public health, primary care , and social services to improve individual, family, and… more
- Banner Health (Tucson, AZ)
- …our quality management initiatives, including but not limited to quality management performance improvement, quality of care , and quality related audits. The ... In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards...quality improvement strategies to ensure the highest standards of care for our Medicaid members. This role… more
- Robert Half Legal (Albany, NY)
- …professional to strengthen our team. This role will primarily focus on healthcare Medicaid HIPAA compliance. The Director of Program Integrity will be ... Compliance Manager (CRCM) to enhance compliance processes. * Leverage expertise in Health Care Audits - Medicare - Medicaid to improve operations and compliance.… more
- Conduent (Hamilton, NJ)
- …of a culture where individuality is noticed and valued every day. The ** Medicaid Service Delivery Director ** is a strategic leader responsible for overseeing ... ensure service excellence, operational efficiency, and customer satisfaction. The Medicaid Service Delivery Director plays a critical...+ Display six (6) years of experience in health care administration management . + Show five (5)… more
- CVS Health (Tallahassee, FL)
- …company? Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in sixteen states: Arizona, California, Florida, ... Aetna Florida plan; but part of a centralized team that supports the Medical Management staff. The Medical Director will ensure timely and consistent responses… more
- Chiesi (Boston, MA)
- National Account Director , Medicaid , Global Rare Diseases Date: Jan 10, 2025 Department: GRD Americas Market Access Job Type: Direct Employee Team: Mktg, Market ... rare and ultra-rare diseases) and **CAR** E (products and services that support special care and consumer-facing self- care ). We are proud to be the largest… more
- CVS Health (Baton Rouge, LA)
- …residency -Health plan/payor Utilization Management / Review experience. -Managed Care experience. - Medicaid experience. **Education:** -M.D. or DO **Pay ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states:...Aetna Better Health Plan of Louisiana. This UM (Utilization Management ) Medical Director will be a "Work… more
- CVS Health (Blue Bell, PA)
- …make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and refine the provider data ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- CVS Health (Baton Rouge, LA)
- …Medical Leadership, Pharmacy Director , clinical staff (including those in utilization management , care management , quality management ), and ... development of clinical practice standards, policies, and procedures. * Behavioral health care management performance and coordination with physical health … more
- State of Minnesota (St. Paul, MN)
- …and in conjunction with Health Care Administration's Assistant Commissioner (AC)/State Medicaid Director , the Deputy Assistant Commissioner of Medicaid ... and focus on reducing health inequities . + Represent the Health Care Administration's Assistant Commissioner/State Medicaid Director when appropriate… more
- State of Minnesota (St. Paul, MN)
- …in conjunction with Health Care Administration's Assistant Commissioner (AC)/State Medicaid Director , the Deputy Assistant Commissioner, Coverage and Service ... expertise, and focus on reducing health inequities. + Represent the Health Care Administration Assistant Commissioner/State Medicaid Director across the… more
- New York State Civil Service (Syracuse, NY)
- …both recent college graduates and experienced professionals and reports to the Regional Director .The Medicaid program provides health coverage to millions of New ... Medicaid provider.Duties:* Assisting attorneys with case organization and management ;* Reviewing and organizing documents and other evidence;* Utilizing… more
- CVS Health (Columbus, OH)
- …educational material to support market intelligence. + Engage with market clinical team, care management team, member services team; attend market level meetings ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Lead Director … more
- Guidehouse (Atlanta, GA)
- …make informed decisions that directly support the Triple Aim of healthcare, ensuring Medicaid beneficiaries can receive high quality care wherever they live, ... of the designated project team and support the day-to-day management of the client relationship. You are expected to...Over 23% of the US population receive healthcare through Medicaid , and our team supports that important work by… more
- Public Consulting Group (VA)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the ... program returns. This role must effectively integrate capabilities in client management and project management , collaborating with Operations, Product, Program… more