- CVS Health (Blue Bell, PA)
- …**Required Experience:** + 10+ years managed care / network / health insurance industry experience, specifically in Medicaid . + Demonstrated experience ... to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and refine the provider data… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of modularity efforts. Directs preparation of reports/analyses for Medicaid Deputy Director , Medicaid Director , Undersecretary or Secretary. Reviews and ... exemplifying core values of Ownership, Service and Integrity in product implementation and delivery services for a variety of...Medicaid Program Manager 4 (Section Chief), the Deputy Director or the Director of Medicaid… more
- Humana (Columbus, OH)
- …compliance with corrective action plans, as needed. Humana is seeking an Associate Director to oversee compliance programs for Humana's Medicaid contracts. The ... our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate Director ,… more
- CVS Health (Sacramento, CA)
- …Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board Certified Oncologist/Internal Medicine ... to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients.… more
- Humana (Oklahoma City, OK)
- …working on behalf of and in coordination with state market leaders (Medicare, Medicaid and specialty insurance , pharmacy, primary care and home health) as ... and business messages to state officials (including Governor's Office, Medicaid , legislators, regulatory agency leaders, attorneys general (as appropriate) and… more
- Point32Health (Canton, MA)
- …senior most audiences. + Deep understanding of the managed care industry, health insurance product life cycle, and government healthcare. + Self-starter, able to ... of health plan or provider experience, preferred + Experience with Medicare, Medicaid and/or Dual product management, preferred **Skill Requirements** + Must… more
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director will manage the development of contracts and agreements with providers ... conceptual models, initiative planning, and negotiating high value contracts with Medicaid providers/facilities in accordance with company standards in order to… more
- Arvinas (New Haven, CT)
- …Summary** As an important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key contributor to a strong National Accounts ... organizations, largest downstream regional account clients as well as their assigned state Medicaid payers. They will be a leader in cross-functional teams to ensure… more
- Ascendis Pharma (Princeton, NJ)
- …develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include implementing ... demonstrating strong leadership, project management, and communication skills. As the Director , Contracting Operations, you will oversee all aspects of contracting… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …researching on real-world evidence, and creating hope for all facing illness. The Director , Corporate Accounts, is a field based national leader that is responsible ... therapy and future products in the United States. The Director will be responsible for holding the team accountable...Medicare Advantage plans, Part D, PBM's, GPOs, Commercial, FFS Medicaid , and Managed Medicaid plans. This position… more
- CareFirst (Baltimore, MD)
- …Degree **Experience:** + 8 years' experience in ACA Individual, Medicare or Medicaid managed care, managed care insurance , finance, government, health care ... **Resp & Qualifications** **PURPOSE:** The Director , ACA Individual provides leadership for the operation of the ACA Individual programs across multiple… more
- Prime Therapeutics (Columbus, OH)
- …domain and may align activities around a specific line of business (MedD, Medicaid , Health Insurance Marketplace, Commercial). **Responsibilities** + Serve as a ... drives every decision we make. **Job Posting Title** Clinical Program Development Director , Stars - Remote **Job Description** The Clinical Program Development … more
- Arvinas (New Haven, CT)
- …As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and executing ... pricing & contracting capability and organization to prepare for current and future product launches. + Design and develop pricing models to evaluate the impact of… more
- The Cigna Group (Bloomfield, CT)
- **About The Role:** The Senior Director , Health Plan Growth (Commercial and Regulated Markets) will provide strategic vision, guidance, and industry expertise ... plan partners within the commercial and regulated markets space. The Senior Director will be responsible for cultivating innovation to ensure continuous improvement… more
- Brookdale Senior Living (Denver, CO)
- …Medicare and Medicaid regulations to include applicable processes for the product line(s) being sold. Knowledge of state regulations impacting or directing the ... ongoing programs catered to your overall health and wellness. Full suite of health insurance , life insurance and retirement plans are available and vary by… more
- Brookdale Senior Living (Chicago, IL)
- …Medicare and Medicaid regulations to include applicable processes for the product line(s) being sold. Knowledge of state regulations impacting or directing the ... ongoing programs catered to your overall health and wellness. Full suite of health insurance , life insurance and retirement plans are available and vary by… more
- CVS Health (New York, NY)
- …to make health care more personal, convenient and affordable. The Lead Director , Aetna B2B Marketing Strategy, is responsible for partnering with Aetna Commercial, ... Medicaid , and Group Retiree sales and business leaders to...while reinforcing client value and competitive differentiation. This lead director will collaborate across a highly matrixed marketing organization… more
- LA Care Health Plan (Los Angeles, CA)
- Associate Counsel III Senior Director Health Care Legal Services Job Category: Management/Executive Department: Health Care Legal Services Location: Los Angeles, CA, ... to achieve that purpose. Job Summary The Associate Counsel III Senior Director Health Legal Services is responsible for diverse legal activities. This position… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Associate Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... medium and long-term financial and competitive position. The Associate Director , Actuarial Analytics/Forecasting requires a solid understanding of how organization… more
- Novo Nordisk (Washington, DC)
- …not limited to: Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance , Medicare, Medicaid , Reference Pricing, Pricing / Price Increases, ... for helping people live better lives and our award-winning product pipeline can only be as effective as our...in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex… more