- Humana (Columbus, OH)
- …conflict with Humana IT's development timelines + Serves as the "Senior Business Architect" for Medicaid , with a strong understanding of how the industry's ... of diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead , Technology Solutions builds strategic partnerships and manages… more
- Humana (Columbus, OH)
- … Medicaid Market, developing a deep understanding of Humana's Medicaid strategy, capabilities, business drivers, data analytics infrastructure, operational ... community and help us put health first** The Financial Planning & Analysis Lead is a critical leadership role with market financial oversight over the Wisconsin… more
- CVS Health (Woonsocket, RI)
- …to make health care more personal, convenient and affordable. The ** Lead Director,** ** Medicaid Provider Experience Standardization** is responsible for ... control points to drive alignment and transparency with the Network Operations Team and the Medicaid Health Plans. This leader will execute on the Medicaid … more
- Guidehouse (Mclean, VA)
- …Will Do** **:** Guidehouse is seeking a highly motivated, passionate, and detail-oriented Medicaid Data Consulting Lead to manage a team performing analysis of ... State Medicaid data and providing technical assistance to the States....and solutions internally in a way that fosters career development , fiscal responsibility, and culture/brand. **Job Description/Responsibilities:** + Plays… more
- Public Consulting Group (Columbus, OH)
- …children's behavioral health services. _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid consulting ... Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's...justice Agencies, HHS agencies, and large employer organizations. + Lead sales efforts, including prospecting, proposal development ,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …to make a difference with. **The opportunity** The Director will lead the development and execution of Teva's Medicaid strategy for the brand and biosimilar ... market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts...List (PDL) access, pull through and resource management for Medicaid business + Work collaboratively across the… more
- Abt Global Inc. (Cambridge, MA)
- …federal authorities, capitation rate-setting, and network access and adequacy + Support and lead business development efforts related to health policy ... for Medicare & Medicaid (CMS) funded projects and also support business development opportunities within Abt's Healthcare portfolio. The candidate enjoys… more
- CVS Health (Blue Bell, PA)
- …solutions to make health care more personal, convenient and affordable. The Lead Director, Provider Data Governance will develop, enhance, and refine the provider ... and consultation with complex, cross-functional stakeholder management, to ensure the desired business outcome is defined and achieved. The ideal candidate is an… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …legislative reporting initiatives under the purview of the Reporting Unit of the Medicaid Business Analytics Section. The selected candidate will need to develop ... Medicaid Program Manager 1--A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4743050) Apply ...its mission through direct provision of quality services, the development and stimulation of services of others, and the… 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: Nov 19, 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)
- …the broader R&I team on key platforms (eg, QNXT) and on nuances of Medicaid business operations. Key Responsibilities: _Analytical skills_ + Develop and maintain ... objectives, deliverables, and establish clear metrics for measuring project success. + Lead development of project plans, timelines, and ensure adherence to… more
- Guidehouse (Atlanta, GA)
- …skills, ability to manage multiple work streams, professional expertise, and client and business development skills, they progress to the position of Associate ... expected to be high-quality and client-ready. In this visible role, you will lead team meetings and guide, manage, and coach Consultants and Senior Consultants,… more
- RedMane Technology (Chicago, IL)
- …and Issues registers for the project. + Leading/participating in prospective client business development meetings, reviewing Requests for Proposals (RFPs) and ... decision-making, and developing responses to RFPs in collaboration with BerryDunn'2019s Business Development team + Regularly manage, interact, and collaborate… more
- CVS Health (Scottsdale, AZ)
- …This role has team leadership responsibilities and develops and drives our Medicaid business compliance monitoring plan activities. Partnering with stakeholders ... of three days onsite per week The Sr. Manager, Medicaid Compliance Monitoring will lead a team...execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise… more
- Elevance Health (St. Louis, MO)
- …+ 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** **Office Location:** 1831 Chestnut...Leads and manages strategies within a specific territory or business initiative. + Oversees member-facing collateral and value-added benefits… more
- Elevance Health (Topeka, 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
- Elevance Health (Metairie, LA)
- …with applicable regulatory requirements; ensures alignment and support with overall Medicaid Business Unit mission, goals and objectives. + Responsible ... for local marketing and community relations, network development , provider partnerships, provider relations, medical management, case management and quality… more
- Centene Corporation (Springfield, IL)
- …reports + Support identification of and incorporate organizational best practices into business applications and processes + Lead problem solving and ... care and improve clinical outcomes for members. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver… more
- Trinity Health (Farmington Hills, MI)
- …billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and ... High school diploma or Associate's degree in Accounting or Business Administration or related field, and a minimum of...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Humana (Columbus, OH)
- …Medicaid markets, and with cross-functional business partners involved in Medicaid VBP contract development , operational set-up, and execution. The Value ... caring community and help us put health first** The Medicaid Value Based Contracts Lead is responsible...Medicaid subject matter expert in VBP contract template development process + Partner with cross-functional teams to ensure… more
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