- Sumitomo Pharma (Columbus, OH)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- J&J Family of Companies (Raritan, NJ)
- Sr Manager Government Rebate Operations - 2406202923W **Description** Johnson & Johnson is currently hiring for a ** Senior Manager Government Rebate ... ensuring efficient and compliant participation in base and supplemental Medicaid , Medicare Part D Coverage Gap Discount Program (CGDP)...issues pertinent to Federal and State rebate programs. The Senior Manager , GRO is responsible for leading… more
- CVS Health (Houston, TX)
- …Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and ... guidelines in support of national and regional network strategies.* Manages contract performance and supports the development and implementation of value-based … more
- CVS Health (Houston, TX)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct...implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- Providence (Spokane, WA)
- …and retain the best people, we must empower them._** **Providence is calling a Senior Reimbursement Manager , Medicare / Medicaid who will:** + Analyze ... optimization strategies, and any reimbursement methodology related to Medicare and Medicaid + Be responsible for operational implementation of various strategic… more
- Elevance Health (Tampa, FL)
- …a relevant Elevance Health location. **Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this ... role is contracting and negotiating contract terms. Typically works with the most complex providers....the health insurance field in Managed Care (Medicare and Medicaid ) and Commercial Plans. + Proficiency in Microsoft applications… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Department 3006 - Finance Exemption Status Exempt Requisition # 24296 Direct Reports n/a Manager Title Accounting Operations Manager ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …is subject to change based on the unit's business needs. Program Manager for Medicaid Transformation will provide leadership, coordination, and management ... for the statewide Medicaid Transformation initiative. The duties include but are not...tasks and strategic decision making to ensure that all contract deliverables are produced in a timely manner and… more
- CVS Health (Lansing, MI)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct...implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- Elevance Health (Columbus, OH)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior - Medicare Cost Report Audit** **_Location: This is...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Molina Healthcare (New York, NY)
- …of urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to… more
- Leidos (Reston, VA)
- …**Leidos has an exciting career opportunity for a Centers for Medicare & Medicaid Services (CMS) BD Manager to strengthen and advance customer engagements. ... The BD Manager must have extensive career experience and recognized credentials...+ Develop and maintain customer intimacy with mid and senior level leaders across the CMS customer space. +… more
- CVS Health (Arlington, TX)
- …helping you achieve your career goals. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team. You will work collaboratively across the Network and … more
- CVS Health (Phoenix, AZ)
- …more personal, convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... innovative and strategic provider Medicaid relationships as part of the National VBC Business...enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development and implementation… more
- WellSense (Boston, MA)
- Senior Contract Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...our members, no matter their circumstances. **Job Summary:** The Senior Contract Manager is responsible… more
- Sanofi Group (Bridgewater, NJ)
- …make a real impact on millions of patients around the world. **Job Duties** The Senior Contract Specialist is responsible for contract management for various ... sanofi companies' products. The Specialist will work in close cooperation with the Contract Operations Manager and counterparts in Contract Development,… more
- CVS Health (Austin, TX)
- …diversity and are dedicated to helping you achieve your career goals. The Senior Manager , Care Management develops, implements, supports, and promotes health ... healthcare to Aetna Better Health of Texas members. The Sr . Manager is responsible for oversight and...matter expert with the Aetna Better Health of Texas Medicaid contract and contract deliverables.… more
- The Cigna Group (Plano, TX)
- …have oversight of a region of facility networks and will be responsible for its contract performance. This Senior Manager will be responsible for directing a ... team of negotiators to manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other Regional Senior … more
- Elderwood (Buffalo, NY)
- …with vested employer match up to 4% + Substantial Referral program Responsibilities Senior Contracting & Credentialing Manager Overview + Seek opportunities to ... Develop and maintain reimbursement tools for organizational use. + Create and maintain contract status summaries and tools to keep senior leadership apprised of… more
- CVS Health (Austin, TX)
- …management. Assigned to VBS Providers limited to only one line of business ( Medicaid ) and/or less complex VBS Medicaid models and smaller provider partnerships ... Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Coordinates and prepares for external provider meetings… more