- Commonwealth Care Alliance (Boston, MA)
- …on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated ... 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and… 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
- Commonwealth Care Alliance (Boston, MA)
- …and Clinical teams to ensure a seamless provider experience and consistent delivery of quality care. The BH Provider Engagement Program Manager reports to the ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Katmai (Usaf Academy, CO)
- …with healthcare providers to ensure appropriate appointment alternatives, access and quality of care. + Coordinates services for eligible patients based on ... worker license in good standing. + Extensive knowledge of TRICARE, Medicare/ Medicaid services and benefits is mandatory. + Knowledge of professional care… more
- COOLSOFT (Raleigh, NC)
- …ie, Scrum, Kanban -Participate in and own SCRUM ceremonies along with the Project Manager and Business Analyst. -Experience with software implementation projects ... title Specialist Job location in Raleigh, NC Skills required Quality Test Experience, Performance Analysis, MS Dynamics 365, ServiceNow...We are seeking a Sr. Specialist for a critical project to replace an on-premises custom-built solution to a… more
- Commonwealth Care Alliance (Boston, MA)
- …closely with provider engagement, delegation partnerships, provider services, contracting, quality , compliance, medical management, and analytics teams to advance ... Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory… more
- CVS Health (Lansing, MI)
- …initiatives/programs and completes State/HSAG PIP templates for submission. + Assists Senior Quality Manager and Director with coordination and implementation of ... 5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred. + 3-5 years of Project Management experience.… more
- NTT DATA North America (Montgomery, AL)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to join our team ... quality management services and associated deliverables. The Project Manager will work under the direct...experience running multiple concurrent projects + 6+ Years of Medicaid Systems or operations project management experience… more
- Humana (Tallahassee, FL)
- …Consumer Service Operations is responsible for the daily activities for Florida Medicaid Contact Center Operations. The Manager , Consumer Service Operations ... up to 200+ associates and leaders supporting the Florida Medicaid plan. The manager will oversee strategic...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Prime Therapeutics (Trenton, NJ)
- …Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business ... residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality , network, pharmacy or project management OR a managed… 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 ... enhance provider networks while meeting and exceeding accessibility, compliance, quality , and financial goals and cost initiatives. Collaborates cross-functionally… more
- NTT DATA North America (Montgomery, AL)
- …BA will support both the current MMIS and plan for the future CPMS takeover project working with the Project Manager , client and vendor development team ... forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery,...team meetings and calls with State + Assist the Project manager in project management… more
- Cayuse Holdings (Austin, TX)
- **Overview** **_JOB TITLE:_** Project Manager II **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Austin, TX **_SALARY:_** $100,000.00-$146,000.00 ... USD $100,000.00 - USD $146,000.00 /Yr. Submit a Referral (https://careers-cayuseholdings.icims.com/jobs/2920/ project - manager -ii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Can't find the right opportunity?** Join… more
- NTT DATA North America (Louisville, KY)
- …as part of an overall sourcing strategy. NTT DATA Services currently seeks an IT Project Manager to join our team in **KY, remote.** **Role Responsibilities** + ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been...The Project Manager 's primary function is to facilitate… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Project Manager I you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) Senior Project Manager I where your passion for...deliverables + Identify, prepare, and/or ensure completion of high quality , professional deliverables as required by each project… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Project Manager I? At Parallon, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Senior Project Manager I like you to be...deliverables + Identify, prepare, and/or ensure completion of high quality , professional deliverables as required by each project… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** As a Senior Project Manager for Risk Adjustment Strategy and Business Support, you will manage all ... project , from start to finish. The Senior Project Manager work assignments involve moderately complex...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Fallon Health (Worcester, MA)
- …and deliver measurable results. Collaborating with a broad group of stakeholders, Project Manager III will ensure appropriate business objectives are defined ... scope, cost and time, delivery on project success criteria, ensure high quality project documentation and reporting, as well as proactive risk mitigation and… more
- Highmark Health (Harrisburg, PA)
- …+ Bachelor's degree **EXPERIENCE** **Minimum** + 1 - 3 years experience in a project manager role and/or in a project leadership role **Preferred** ... framework highly regulated by the Centers for Medicare & Medicaid Services (CMS). Experience in quality improvement...+ Work with business and technical organizations to assemble project teams. Lead Project Managers and Program… more
- University of Southern California (Los Angeles, CA)
- …corrective action planning and implementation. The role also serves as a project manager to facilitate, coordinate, document, and independently manage multiple ... The Assistant Manager for Regulatory and Patient Safety provides advanced...California Department of Public Health, Centers for Medicare and Medicaid Services, and other accreditation or regulatory agencies. The… more
