- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. Position Summary The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... recent Managed Care Network Value Based Contacting experience with 2- 3 years Medicaid Network experience Must have...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (San Antonio, TX)
- …of leadership experience A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... oversight of SIU and Fraud, Waste and Abuse activities related to TX Medicaid and CHIP programs. Oversees activities related to the prevention, investigation, and… more
- State of Minnesota (St. Paul, MN)
- Working Title: Managed Care Contracting and Rates (MCCR) Director Job Class: Human Services Manager 4 Agency: Human Services Dept Job ID : 90577 Location : St. Paul ... Date : 12/23/2025 Hiring Agency/Seniority Unit : Human Services Dept / DHS Manager Division/Unit : Health Care Administration / Managed Care Contracting and Rates… more
- Serco (Herndon, VA)
- … program implementation (particularly the Health Insurance Marketplace, Medicare, Medicaid and/or CHIP), program improvement and innovations, and project ... Position Description Serco is seekinga self-starter Senior Manager Compliance to join our talented and fast-paced...and processes, or other federal health programs (such as Medicaid , Children's Health Insurance Program or Medicare)… more
- Elevance Health (Greensboro, NC)
- We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... an accommodation is granted as required by law. The Manager I Care Management ( Manager I GBD...Participates in cross-functional workgroups created to maintain and develop program . Evaluates current processes of Special Program 's… more
- CVS Health (Frankfort, KY)
- … Medicaid , Medicare Part D, etc.). In addition, the manager works cross-functionally with Sales Account Management, Client Implementations, Finance, Legal ... we do it all with heart, each and every day. Position Summary As the Manager of Pharmacy Communications, you will serve as the main liaison and subject matter expert… more
- CVS Health (St. Paul, MN)
- …do it all with heart, each and every day. Position Summary As a Manager , Healthcare Data and Analytics (IC), you will be responsible for developing and maintaining ... complex financial reporting solutions that support Aetna's Medicaid Markets. This role will lead reporting for Value-Based...queries and reports using SQL Server Management Studio (SSMS). 3 + years of experience working with healthcare data. Strong… more
- Waystar (Atlanta, GA)
- ABOUT THIS POSITION Waystar is seeking a smart and creative Product Manager with hands on experience in the financial and operational challenges facing the ... decisions that lead to highly useable software. As Product Manager , you will be responsible for the complete product...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Waystar (Lehi, UT)
- ABOUT THIS POSITION We're looking for a highly technical and hands-on Manager , Application Engineering to lead a team of talented Application Engineers and QA ... technical track Proven ability to lead a team of 3 + members and manage multi-quarter projects Bachelor's degree in...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied...associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care… more
- Elevance Health (Grand Prairie, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement III ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . Prepare detailed work papers and present findings in… more
- Elevance Health (Miami, FL)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement III ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...Requirements: Requires a BA/BS degree and a minimum of 3 years of audit/reimbursement or related Medicare experience; or… more
- Waystar (Louisville, KY)
- …as well. WHAT YOU'LL DO Proposes technical solutions to the Manager , Application Engineering Designs/develops/tests/implements improvements or new features into the ... the various stages to production Identifies and informs the Manager , Application Engineering of areas of the application that...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Waystar (Lehi, UT)
- …performance. WHAT YOU'LL DO Proposes technical solutions to the Manager , Application Engineering Designs/develops/tests/implements improvements or new features into ... development through the various stages to production Identifies and informs the Manager , Application Engineering of areas of the application that can be improved… more
- Humana (Madison, WI)
- …of the team to the overall set of features prioritized by the Product Manager . Additionally provide clarity to scrum team members with regards to the ultimate ... prioritization to the implementation team. Coordinate with the Product Manager and set boundaries that are based on objective...Qualifications Bachelor's degree within a related field Up to 3 years of experience in product ownership or experience… more
- Waystar (Atlanta, GA)
- …using AWS services such as EC2, S3, RDS, DocumentDB, Lambda, EKS, Secrets Manager , SSM, API Gateway, and CloudFront and other related technologies such as Hashicorp ... services, including EC2, S3, Lambda, EKS, VPC, IAM, Secrets Manager , SSM and technologies such as Haschicorp Vault and...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Mount Sinai Health System (New York, NY)
- …of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred 3 years of health care related ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
- Marshfield Clinic (Beaver Dam, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... and monitoring premises and personnel. Schedule: Monday - Friday, 3 :00PM - 11:00PM JOB QUALIFICATIONS EDUCATION For positions requiring...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Leidos (Reston, VA)
- …Business Area Growth Officer and collaborate closely with the Health IT Division Manager to support the growth and strategic development of the Health IT Division ... to drive growth. Provide review, oversight, direction, and leadership to various program teams throughout the organization to ensure successful execution of existing… more
- Novo Nordisk (Arcadia, CA)
- …needs of patients with cardiometabolic diseases, come join us! CMCS 3 - Wegovy/Ozempic (Customer dependent) The Position Assumes responsibility for achieving ... co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and… more
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