- AAOS (Des Plaines, IL)
- …excited to join a dynamic team and have a pivotal role, where you'll lead the charge in data extraction, quality assessment, and analysis for our Registry Program. ... supports the Registry Department as part of the Combined Analytics team to lead the data extraction, quality assessment and analysis of the Registry Program data.… more
- Humana (Columbus, OH)
- …experience supporting Medicaid managed care health services operations and the Medicaid managed care business development lifecycle. + Strong ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...to support the strategic direction and growth of the Medicaid and Duals lines of business . This… more
- Elevance Health (Overland Park, KS)
- …requirements and owns the Kansas Medicaid Compliance Committee. + Supports business development and maintenance of the contract through request for proposal ... understanding of the root causes and control breakdowns that lead to member, provider, and state complaints/issues. This role...support. + Supports health plan leaders with business operational reviews with senior Medicaid leadership.… more
- CVS Health (Northbrook, IL)
- …corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business . Additionally, the incumbent will lead and participate in other key ... focus on risks and issues impacting multiple Medicaid markets; support business partners in the development of mitigation and corrective action plans… more
- CVS Health (Princeton, NJ)
- …health care more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director, Network Management is accountable for designing ... and cost initiatives. **Responsibilities include, but not limited to:** + Manages Medicaid contract performance and drives the development and implementation of… more
- Public Consulting Group (Columbus, OH)
- …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... juvenile justice Agencies, HHS agencies, and large employer organizations. + Lead sales efforts, including prospecting, proposal development , and presentations… more
- State of Georgia (Fulton County, GA)
- …for existing and new Behavioral Health (BH) and/or Intellectual/Developmental Disability (IDD) Medicaid programs administered by DBHDD; * Lead costs allocation ... team to track interagency transactional payments; * Consider DBHDD business which can be considered for Medicaid ...or claims, which includes two (2) years in a lead worker, team leader , or supervisory role;… more
- Wider Circle (Greenville, SC)
- …Corps, and other national service alumni are encouraged to apply!* Responsibilities You will lead the Wider Circle Medicaid program in your assigned area, using ... Wider Circle is looking for a Community Health Engagement Lead in Greenville, SC to join our circle and...making a profound impact, fostering respect, and nurturing career development reign supreme. We offer competitive compensation, benefits, and… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …+ Lead and oversee all aspects of the Connecticut Medicaid Enterprise Technology System (CT METS) program. + Ensure the successful implementation ... Director of Technology Modernization, Medicaid Programs Durational Project Manager Recruitment # 240801-0415VR-001...more effective technology. This is an outstanding opportunity to lead the modernization of our service delivery platform and… more
- Sumitomo Pharma (Columbus, OH)
- …role with 2-3 days a week required in office. **Job Duties and Responsibilities** + Lead operations person for all Medicaid decisions as it relates to Model N ... advanced technology capabilities, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …our generic and specialty medicines business through investment in research and development , marketing, business development and innovation. This is how ... Medicaid Claims Analyst Date: Sep 22, 2024 Location:...57268 **Who we are** Teva is a global pharmaceutical leader and the world's largest generic medicines producer, committed… more
- CVS Health (Hartford, CT)
- …points to drive alignment and transparency with the Network Operations Team and the Medicaid Health Plans. This leader will develop and define the standard ... Plan from current state to the new standard. This leader is responsible for owning the organizational Medicaid...functional projects and/or programs that successfully resulted in material business impacts. + Experience working with Medicaid … more
- Elevance Health (Las Vegas, NV)
- …monitoring and analysis of the Health Plan operations, while supporting the development of business requirements to ensure compliance with State/Alliance ... within 50 miles of one of our Elevance Health PulsePoint locations. The ** Medicaid Contr/Implmnt Mgmt Mgr** is responsible for guiding Medicaid State/Alliance… more
- CVS Health (St. Paul, MN)
- … 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 ... execution. + Establish and monitor organization and talent metrics aligned to business strategy. + Targeted leadership development /coaching that aligns behavior… more
- General Dynamics Information Technology (Fairfax, VA)
- … outcomes. + Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions. + Present findings ... looking for a Sr. Data Scientist to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people are at the center of everything we do.… more
- Conduent (Topeka, KS)
- …of a culture where individuality is noticed and valued every day. ** Medicaid Eligibility Trainer** **Hourly rate $19.82/hr** Conducts training classes for employees ... policies and procedures, call center processes, and other content related to Medicaid data entry and registration. Will continually measure training needs, gaps in… more
- General Dynamics Information Technology (MD)
- …Description:** **Seize your opportunity to make a personal impact as a Medicaid Research Associate supporting Vulnerability Program Management. GDIT is your place to ... career.** **At GDIT, people are our differentiator. As a Medicaid Research Associate you will help ensure today is...THIS POSITION WILL MAKE AN IMPACT** Performs research, analysis, development , and evaluation of systems, procedures, and data in… more
- Elevance Health (Kansas City, KS)
- …+ Develops and executes on marketing and community relations strategy to achieve Medicaid goals. + Assists in the development of reports providing productivity ... ** Medicaid Territory Marketing Manager** **Location: Topeka KS, Kansas...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Public Consulting Group (Sacramento, CA)
- …development life cycle methodologies and how they are used * Participate in business development by identifying new opportunities and assisting with proposal ... base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project...best practices are being followed on the project. * Lead technical reviews and assessments of vendor and/or client… more
- Elevance Health (Metairie, LA)
- …requirements and owns the Louisiana Medicaid Compliance Committee. + Supports business development and maintenance of the contract through request for ... understanding of the root causes and control breakdowns that lead to member, provider, and state complaints/issues. This role...proposal support. Supports health plan leaders with business operational reviews with senior Medicaid leadership.… more
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