• Director Medicaid - Remote

    Teva Pharmaceuticals (Parsippany, NJ)
    Director Medicaid - Remote Date: Oct 30, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we ... market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts to ensure Teva stakeholders are abreast… more
    Teva Pharmaceuticals (10/31/24)
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  • Medicaid CHIP Senior/Principal Associate…

    Abt Global Inc. (Cambridge, MA)
    …in Medicaid and CHIP policy. **Core Responsibilities:** + Serve as project director or equivalent key staff for Medicaid or CHIP managed care projects; ... Associate with deep policy and management consulting experience relevant to Medicaid and Children's Health Insurance Program (CHIP) monitoring and oversight. The… more
    Abt Global Inc. (11/20/24)
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  • Director , Medicaid CFO

    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 ... Advocate for the quality and financial sustainability of the Medicaid business. + Develop spending and business initiative recommendations...roles, you can choose where to work - fully remote in one of the states listed below, in… more
    BlueCross BlueShield of North Carolina (11/14/24)
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  • Project Manager - Medicaid

    Motion Recruitment Partners (Canton, MA)
    Project Manager - Medicaid Canton, Massachusetts **Open to Remote ** Contract $65/hr - $65/hr Our client is looking for a contract Project Manager - Medicaid . ... to Canton, MA. However, the client is amenable to remote work as long as the candidate resides in...in CST or EST. As the Project Manager - Medicaid , you will be the driving force behind the… more
    Motion Recruitment Partners (09/19/24)
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  • Director , Customer Experience (IT…

    Molina Healthcare (ID)
    …into business requirements. In partnership with Plan Growth Leaders, the Director , Customer Experience is responsible for developing, implementing and monitoring a ... successful strategy to achieve Molina's Medicaid membership retention goals & objectives across the enterprise...retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including… more
    Molina Healthcare (11/08/24)
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  • Director Clinical Account Services…

    Prime Therapeutics (Columbus, OH)
    …fuels our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services - Remote Nevada **Job Description Summary** Plays ... expertise with data management and overall healthcare trends specific to the Medicaid population. **Job Description** + Partners with appropriate staff in the… more
    Prime Therapeutics (11/06/24)
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  • Medical Director (Behavioral Health)…

    Magellan Health Services (Honolulu, HI)
    …MMUM). After Hours coverage may be required. General Job Information Title Medical Director (Behavioral Health) - Hawaii Licensed, Remote Grade 36 Work ... the clinical vision for the health plan(s) for all lines of business ( Medicaid , Medicare, and Commercial) and implements programs to support this vision. May serve… more
    Magellan Health Services (09/25/24)
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  • Clinical Program Development Director

    Prime Therapeutics (Columbus, OH)
    …drives every decision we make. **Job Posting Title** Clinical Program Development Director , Stars - Remote **Job Description** The Clinical Program Development ... and may align activities around a specific line of business (MedD, Medicaid , Health Insurance Marketplace, Commercial). **Responsibilities** + Serve as a subject… more
    Prime Therapeutics (11/01/24)
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  • Senior Director , Health Plan Growth…

    The Cigna Group (Harrisburg, PA)
    **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
    The Cigna Group (11/16/24)
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  • Director , Sales & Retention (In Field/…

    Molina Healthcare (Buffalo, NY)
    **Job Description** **Job Summary** The Director Sales and Retention will be directly involved in the development, oversight, and support of strategic and tactical ... allowable marketing practices, compliance, and associated products, such as Medicaid , Child Health Plus (CHP), and Essential Plan (EP)...Plus (CHP), and Essential Plan (EP) if applicable. The Director will interact on a regular basis with both… more
    Molina Healthcare (11/08/24)
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  • Accreditation and Audit Director - Hybrid…

    Fallon Health (Worcester, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... of Purpose:** With general direction from the Vice President and Senior Medical Director of Quality and Population Health, the Director of Accreditation and… more
    Fallon Health (11/02/24)
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  • Associate Director , Security Architecture(…

    Conviva (Columbus, OH)
    …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
    Conviva (11/19/24)
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  • Director , LTSS Partnerships (Plan…

    Molina Healthcare (Cambridge, MA)
    **_ Remote and must live in Massachusetts _** **Job Description** **Job Summary** The Director , LTSS Partnerships plays a critical role in the development and ... financial, clinical, quality, member satisfaction, compliance, and growth goals. The Director will be working within a highly matrixed organization focused on… more
    Molina Healthcare (11/09/24)
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  • Director of Data Science ( Remote

    Mathematica (Columbus, OH)
    …our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are seeking a motivated * Director of Data Science* to lead a practice of ... some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most...lack of work. *Available Locations:* Washington, DC; Princeton, NJ; Remote #LI-AR1 # remote -usa We are an Equal… more
    Mathematica (11/21/24)
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  • Director , Specialty Clinical Solutions-…

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description ... (eg, URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQA-National Committee for Quality Assurance, and ERISA-Employee… more
    Prime Therapeutics (11/19/24)
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  • National Director , Healthcare Consultant…

    Walgreens (Deerfield, IL)
    …disability/veterans". $159-215-271K \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Healthcare Consultant Relations Remote **Company Indicator:** ... various other providers, etc), the various lines of business (Commerical, Medicare, Medicaid , etc) and the various healthcare services provided in the overall… more
    Walgreens (09/24/24)
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  • Medical Director - Medical Affairs…

    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 ... for this opportunity. This is a remote based from from home role. The Medical Affairs...Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs… more
    CVS Health (11/22/24)
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  • Director of Pharmacy

    State of Indiana (Indianapolis, IN)
    …chief clinical pharmacist and director for clinical outcomes. + Represent the Medicaid Director and FSSA Secretary on pharmacy boards and committees. + ... Director of Pharmacy Date Posted: Nov 13, 2024...the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within… more
    State of Indiana (11/14/24)
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  • Medical Director - South Central

    Humana (Columbus, OH)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/08/24)
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  • Director Compliance_PRX

    AmeriHealth Caritas (Newtown Square, PA)
    ** Director Compliance_PRX** Location: Newtown Square, PA Primary Job Function: Compliance ID**: 37964 **Job Brief** Compliance experience within the Pharmacy / ... and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Compliance serves as the primary contact for Medicare and … more
    AmeriHealth Caritas (11/14/24)
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