- CareFirst (Baltimore, MD)
- …for directing all aspects related to the monitoring of performance under the Medicaid contract and regulatory requirements and the overall state of compliance ... compliance. Directs the activities related to the design, development, implementation and maintenance of compliance programs across all major...of at least 5 years Medicare Part C and/or Medicaid compliance experience. + 3 years Management … more
- NTT DATA North America (Montgomery, AL)
- …evaluate the effectiveness of mitigation strategies applied + Support NTT Project Management methodology, process and implementation guidance + Assist with the ... + 8+ Years of experience running multiple concurrent projects + 6+ Years of Medicaid Systems or operations project management experience + 4+ Years of experience… more
- CVS Health (Lansing, MI)
- …accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation of strategic, ... guidelines in support of national and regional network strategies. + Manages contract performance and supports the development and implementation of value-based… more
- Highmark Health (Pittsburgh, PA)
- …The incumbent develops the strategic direction and insurers it's execution for revenue management , federal and state regulatory and contract compliance, care ... the health plan. Collaborate on the development and oversee implementation and reporting of the annual short- and long-term...Degree in Government **EXPERIENCE** **Required** + 10 years of Medicaid Experience + 10 years in Management … more
- Public Consulting Group (Juneau, AK)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... support the delivery of health-related services by helping schools access critical Medicaid reimbursement. The Consultant will take a client-centric view and apply a… more
- Prime Therapeutics (Trenton, NJ)
- …of the contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service ... managed, and EBIDTA targets achieved for the assigned account(s). + Ensures contract performance through risk management activities including such items as… more
- J&J Family of Companies (Titusville, NJ)
- …Johnson Innovative Medicine is recruiting for a Lead Financial Analyst, Government Contract Compliance. This position is based in Titusville, New Jersey. At Johnson ... for providing strategic support to the Johnson & Johnson Government Contract Compliance (GCC) team within Innovative Medicine US Commercial Finance. Operating… more
- Ascendis Pharma (Princeton, NJ)
- …wholesalers, and pharmacy benefit managers (PBMs). This role requires expertise in contract management and reimbursement dynamics, coupled with strong leadership ... provide input to department's overall yearly budget. Requirements Key Responsibilities: Contract Management : Develop, implement, and maintain robust processes… more
- Public Consulting Group (St. Paul, MN)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... across the public sector. To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative… more
- Mount Sinai Health System (New York, NY)
- …are a plus. **Experience Requirements** + Minimum 3-5 years of experience in contract management , coding, and analysis in a healthcare setting. + Experience ... interpret complex contract terms and financial data. + Proficient in contract management systems, modeling software, and financial reporting tools. +… more
- Walgreens (Deerfield, IL)
- …closely with peers within the Contracts & Pricing Department to facilitate contract implementation , monitoring, compliance and analysis for assigned accounts and ... end-to-end management of assigned PBM clients, including traditional account management , setting and leading the negotiations surrounding contract renewals… more
- UTMB Health (Galveston, TX)
- … contract outcomes and drive data[1]informed decisions. * Lead contract implementation efforts, including communication, education, and ongoing oversight. ... influence cross-functional teams. * Familiarity with tools such as Microsoft Excel, contract management software, and healthcare data systems (eg, Epic, etc.).… more
- Molina Healthcare (Rio Rancho, NM)
- …Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely implementation and ... * Participates in defect resolution for assigned component(s). * Participates in the implementation and conversion of new and existing health plans. * Assists in… more
- AmeriHealth Caritas (Washington, DC)
- **Responsibilities:** Responsible for managing the day-to-day activities of the DC Medicaid Plan Network Management department and staff. Responsible for ... management activities as it relates to the DC Medicaid Plan. Ensures that the department and staff remain...management of all provider contracts. + Responsible for implementation of electronic strategies for provider network to include… more
- State of Michigan (Lansing, MI)
- …Management section within the division to assist in quality initiatives and contract requirements related to the care management requirements and initiatives ... Departmental Specialist 13 - Care Management Specialist (Adult) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5181594) Apply Departmental… more
- CVS Health (Tallahassee, FL)
- …including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to business ... using innovation, integration, and information. Participates in the development and ongoing implementation of Quality Management (QM) work plans and activities,… more
- State of Massachusetts (Boston, MA)
- …* Direct and exercise an efficient system of control through the implementation and monitoring of revenue management , forecasting, and reporting program ... (PPR) and revenue maximization vendor contracts, including managing and monitoring contingency contract budgets and invoice management review processes. * Report… more
- Ascendis Pharma (Princeton, NJ)
- …and efficient contract implementation . Key Responsibilities: + Contract Lifecycle Management : Support drafting, execution, and administration of payer, ... teams to support contract alignment and implementation . + System Management : Experience with contract management and rebate systems (eg, Model… more
- Mount Sinai Health System (New York, NY)
- …high-impact executive presentations and reports. + Strong experience with vendor contract management and invoice processing. **Knowledge, Skills, and Abilities** ... **Job Description** **Director of Revenue Cycle Management Training & Education-Patient Financial Services- Corporate 42nd Street- Full-Time Days** The Director of… more
- Molina Healthcare (North Las Vegas, NV)
- …Professional in Health Care Quality (CPHQ) or other health care or management certification. * Medicaid /Medicare population experience. * Clinical experience. * ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services… more