- Prime Therapeutics (Columbus, OH)
- …execution of the strategic vision and business plan for Prime's state Medicaid market, including business development and client relationship management, ... for continued client growth, retention, and satisfaction. This executive leader is a key influencer across the enterprise and... Medicaid market and respective resources with product development and business growth objectives + Maintain… more
- 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 ... scope and complexity ranging from moderate to substantial. **Role Description** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages… more
- Conduent (Richmond, VA)
- …complex, matrixed teams to ensure project success?** We are seeking a ** Medicaid Management Systems Implementation Leader ** to spearhead projects that involve ... the successful implementation of Medicaid Management Systems. This role requires a seasoned professional...self and the project team accountable for achieving valued business outcomes. + Overseeing execution and value delivery through… more
- Humana (Dublin, OH)
- …our caring community and help us put health first** The Ohio Clinical Market Development Advisor is a key leader responsible for driving strategy, operational ... excellence, and performance improvement in Ohio Medicaid . This position requires strong collaborative leadership in overseeing cross functional teams, managing… 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
- 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: Jan 22, 2025 Location:...60414 **Who we are** Teva is a global pharmaceutical leader and the world's largest generic medicines producer, committed… 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: Jan 6, 2025 Location:...59984 **Who we are** Teva is a global pharmaceutical leader and the world's largest generic medicines producer, committed… 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
- CenterWell (Columbus, OH)
- …typically related to intradepartmental coordination. This individual will lead development and implementation of strategic plans, and business outcomes, and ... capabilities interrelate across segments and/or enterprise-wide. The Associate VP, Medicaid Product Management is responsible for coordinating and overseeing… more
- CVS Health (Columbus, OH)
- …Adjustment, the Market Manager will work closely with cross-functional leadership across the Medicaid business to establish and champion a local market culture ... Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Lead Director...operational issues that impact market performance - work with business partners to implement solutions. + Track deliverables and… more
- Prime Therapeutics (Columbus, OH)
- …and ensuring process adherence in support of Prime's contracting efforts with Louisiana Medicaid PBM business . This position is responsible for supporting the ... members and serve as a point of escalation support to internal and external business partners + May lead department contracting strategy for junior level team… more
- Elevance Health (Winston Salem, NC)
- …Children and Families Specialty Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 1 and 2 in the state ... of North Carolina. This People Leader will be responsible for the Children and Families...health and behavioral health care manager teams and the development , implementation, and coordination of a comprehensive clinical program… more
- Elevance Health (Durham, NC)
- …and Families Specialty Health Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 4 and 6 in the state ... of North Carolina. This People Leader will be responsible for the Children and Families...health and behavioral health care manager teams and the development , implementation, and coordination of a comprehensive clinical program… 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
- Molina Healthcare (Columbus, OH)
- …and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare ... opportunities. This position will primarily support the New York Medicaid market. **Job Duties** + Extract and compile information...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… 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
- Public Consulting Group (VA)
- …our clients' needs. Examples include: partner with local team regarding FFS business development opportunitiesandactivities, work with Product & Operations to ... support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the… more
- Guidehouse (Mclean, VA)
- …senior management and enhance their skills in the areas of technical competency, business development , client service and people development . Throughout the ... to start Monday, June 2 and run until Friday, August 8) + Learning & Development Sessions (both E-learning & Instructor Lead ) + Mid-Point and Final Evaluations +… more
- Molina Healthcare (Columbus, OH)
- …into a new market. + **Supports strategic public affairs efforts for business development activities across enterprise coordinating and aligning activities among ... the Accord and elevates story telling. + Coordinates with the health plans, business development and the External Communications team on the promotion of… more
- AmeriHealth Caritas (Charleston, SC)
- …department's and staff's day-to-day activities.; Responsible for assisting the leader with departmental activities related to provider satisfaction, education, and ... annual goals and objectives. **Responsibilities:** + Hospital and physician network development and management. + Develops and recommends policy changes related to… more
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