- Marion County (Salem, OR)
- …to other staff. You will be working directly under the Nurse Program Manager , and overseeing daily operations of the outpatient clinic, working closely with the ... SUPERVISION RECEIVEDWorks under the general supervision of the Nurse Program Manager , who assigns duties, establishes goals and reviews results. SUPERVISION… more
- EssilorLuxottica (Mason, OH)
- Manager - Business Data ( Medicaid Reporting) Date: Jun 4, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 816990 ... America's fastest growing vision benefits company. **GENERAL FUNCTION** The Manager of Medicaid Reporting is responsible for...functions and IT, requiring advanced level understanding of the business processes, data and systems. This role… more
- Sumitomo Pharma (Columbus, OH)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 1--B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4548762) Apply Medicaid Program Manager 1--B Salary ... strong organizational skills; demonstrated team leadership; and experience in advanced data analytics, Medicaid and/or health care administration, health, health… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Iowa Medicaid Dental Contract Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4541615) Apply Iowa Medicaid Dental Contract ... Division, seeking one candidate for a Dental Contract Manager (Executive Officer 2) position. Medicaid is...dental services; program integrity issues and accurate reporting of data to ensure the State is paying accurate capitation… more
- Humana (Louisville, KY)
- …of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in developing ... to support the strategic direction and growth of the Medicaid and Duals lines of business . This...frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a… more
- CVS Health (Tampa, FL)
- …of internal corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business . Additionally, the incumbent will lead and participate in other ... position is responsible for promoting compliant and ethical behavior for Aetna's Medicaid business , including timely implementation of compliant business … more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Dental Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4539820) Apply Medicaid Dental Policy Program ... + Description + Benefits + Questions Job Description The Medicaid Dental Policy program manager will manage...experience equal to three years of full-time work in data science; project management; management analysis; or business… more
- State of Colorado (CO)
- CO Medicaid Enterprise Solutions (CMES) Portfolio Governance Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4554368) Apply CO ... Medicaid Enterprise Solutions (CMES) Portfolio Governance Manager Salary $94,008.00 - $122,208.00 Annually Location Statewide, CO Job Type Full Time Job Number… more
- Idaho Division of Human Resources (ID)
- Program Manager Medicaid Posting Begin Date: 2024/06/06 Posting End Date: 2024/07/07 Work Type: Full Time Remote: Flexible Hybrid Location: Statewide, ID, United ... The Bureau of Population Health in the Division of Medicaid is seeking a program manager to...professional preparation, collaboration, and quality presentation of information and data tailored to the needs of the audience. +… more
- Providence (WA)
- … capitation rate assumptions and methodology + Provide oversight to financial/encounter data submission in support of Medicaid capitation rate setting + ... must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review...and pricing strategy + Evaluate the financial performance for Medicaid /Medicare lines of business + Maintain an… more
- CVS Health (Phoenix, AZ)
- …the Lead HRBP to provide strategic and day-to-day HR support for the Aetna Medicaid organization. The Senior HR Business Partner will be expected to regularly ... and delivery (planning, delivering, and supporting) skills. + Adept at business intelligence and data analysis. Education Bachelor's degree preferred/specialized… more
- CVS Health (Hartford, CT)
- …Summary This role on the NSPE Value Based Analytics team supports Aetna's Medicaid segment. Join this fast-paced team that works closely together to promote the ... development and growth of value based contracts across Aetna's 16 Medicaid plans. Responsibilities may include: Querying and analysis of complex provider claim,… more
- Humana (Indianapolis, IN)
- …in the State of Indiana. + Proficiency in analyzing and interpreting data trends. + Progressive business consulting and/or operational leadership experience. ... first** Humana Healthy Horizons in Indiana is seeking a Manager , Care Coordination to lead teams of nurses and...care for elderly or special needs populations, or in Medicaid and/or Medicare. + 2+ years of management or… more
- CVS Health (Houston, TX)
- …dedicated to helping you achieve your career goals. In this Texas Medicaid individual contributor role the contract negotiator: + Negotiates competitive contracts ... supports the implementation of value-based contract relationships in support of business strategies. + Manages relationships with key providers and ensures… more
- CVS Health (Lansing, MI)
- …located in MI- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, and non ... and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work assignments and… more
- Healthfirst (NY)
- …3 days a week._** **Duties & Responsibilities** + Partner with Finance Business Partner to support State Programs teams to monitor product financial performance ... dots and understand all the levers to improve product performance + Support business case development for new growth and market opportunities for the State Programs… more
- University of Rochester (Rochester, NY)
- …caseload and is responsible for accurate and timely documentation in requisite systems: Medicaid Data Base, EPIC, NY State of Health (NYSOH) application and ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Humana (Lafayette, IN)
- …first** The Nutritionist (Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and regulate patients' ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. +...to the Contractor's care teams. + Partner with Dental Manager . **Use your skills to make an impact** **Required… more
- TEKsystems (Montgomery, AL)
- Description: Requires full proficiency in T-SQL as identified by the development manager . Create Stored Procedures * SSIS ETL Packages * Unit tests * Documentation ... code * Status updates as requested by the Project Manager and Development Manager . Ability to write...* Excellent written and verbal communication skills * Elicit data requirements by assisting with interviews, document analysis, … more
