- CVS Health (Woonsocket, RI)
- …deliver solutions to make health care more personal, convenient and affordable. The ** Lead Director ,** ** Medicaid Provider Experience Standardization** ... is responsible for ensuring the variations that currently exist across multiple Medicaid Health plans specific to provider contracting, credentialing, … more
- CVS Health (Tallahassee, FL)
- …to make health care more personal, convenient and affordable. **Position Summary** The Lead Director , CFO Florida Medicaid Market role will function ... as the CFO for the Florida Medicaid Health Plan and will lead the...financial metrics. **Preferred Qualifications** + Health Plan Operations. + Provider contracting and reimbursement methodologies. + Medicaid ,… more
- CVS Health (Raleigh, NC)
- …to make health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid /North Carolina is ... in accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
- CVS Health (New York, NY)
- …and deliver solutions to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and ... all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (eg, directory listings). Aligns policies… more
- University of Colorado (Aurora, CO)
- ** Medicaid Policy Director Eugene S. Farley, Jr. Health Policy Center** **Description** **University of Colorado Anschutz Medical Campus** **Department:** ... of Medicine | Department of Family Medicine** **Job Title:** ** Medicaid Policy Director Eugene S. Farley, Jr....and other health insurance in Colorado and nationally. + Provide FHPC with expertise, ideas, analyses, written products and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …new people to make a difference with. **The opportunity** The Director will lead the development and execution of Teva's Medicaid strategy for the brand and ... market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead...to lead cross-functional teams is required. The Director will provide managerial and strategic leadership… more
- The Cigna Group (St. Louis, MO)
- **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... the organization to identify and mitigate compliance risks. The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial will serve as the… more
- Humana (Columbus, OH)
- …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & Innovation** will ... a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. **Position Summary** The Behavioral Health Medical Director is a key position on Aetna Better Health of TX's (ABHT) ... the implementation of BH integration efforts * Behavioral Health executive clinical lead for ABHT, participating in market leadership and strategy meetings The… more
- City of New York (New York, NY)
- …is recruiting for One (1) City Research Scientist IV to function as the Director of SNAP, Medicaid , and Fair Fares Performance Management, who will: oversee ... provides eligible New Yorkers with public health insurance. The Director will lead a team of analysts...changes to support implementation of the Mayor's initiatives. The Director of SNAP, Medicaid , and Fair Fares… more
- Elevance Health (Topeka, KS)
- **Medical Director - Kansas Medicaid ** **Location: This is a hybrid position. Candidates** **MUST** **live within 50 miles of an Elevance Health location.** ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical… more
- Elevance Health (Buffalo, NY)
- ** Medicaid Quality Management Director ** Location: This position will work a hybrid model (remote and office). The candidate must live within 50 miles of the ... and reports quality measures per state, Centers for Medicare and Medicaid Services (CMS), and accrediting requirements. **Minimum Requirements:** + Requires BA/BS… more
- BlueCross BlueShield of North Carolina (NC)
- …The Chief Financial Officer (CFO) of Healthy Blue's North Carolina Medicaid Managed Care Program drives financial performance by providing strategic feedback ... activities. + Advocate for the quality and financial sustainability of the Medicaid business. + Develop spending and business initiative recommendations based on… more
- CVS Health (Baton Rouge, LA)
- …of Louisiana is seeking a dedicated and experienced Behavioral Health Medical Director . The ideal candidate will be a board-certified psychiatrist with a current, ... years of training in a medical specialty. The Behavioral Health Medical Director will ensure timely medical decisions, including after-hours consultation, and will… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …Linkedin Apply Department of Health and Human Services (DHHS)Asst. Div. Director Medicaid /Medicare ServicesOpening Date:October 31, 2024 Closing Date:November ... Medicaid Manager for Third Party Liability Unit Augusta...find employees who embody our state motto-"Dirigo" or "I lead "-as they provide essential services to Mainers… more
- Healthfirst (FL)
- …+ Master's degree or MBA from an accredited institution + Experience in Provider Data Management, Provider Contract, and/or Provider Reimbursement ... Payer or HealthEdge Source platform + Prior experience with claims and provider payment operations in a healthcare payor setting + Experience setting departmental… more
- Guidehouse (Atlanta, GA)
- …expected to be high-quality and client-ready. In this visible role, you will lead team meetings and guide, manage, and coach Consultants and Senior Consultants, ... Over 23% of the US population receive healthcare through Medicaid , and our team supports that important work by...development skills, they progress to the position of Associate Director . **What You Will Need** **:** + Completion of… more
- City of New York (New York, NY)
- …justice, particularly racial, gender, and LGBTQI+ equity to apply. Position Summary: The Director of Provider Oversight manages the Provider Oversight Unit, ... changes in State regulations, guidance, and local policy Serve as the Bureau's lead on all matters regarding response to provider noncompliance, fraud and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Director , Provider Contracting, leads and manages the provider networks for all of ... contracts and agreements for the organization; including value-based arrangements directly with provider groups and integrated systems. The Director , Provider… more
- Elevance Health (Los Angeles, CA)
- ** Provider Contract Director -CA** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the ... posted Elevance Health locations. The ** Provider Contract Director -CA** leads key end to...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experience:**… more