- Prime Therapeutics (Columbus, OH)
- …decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for ... and ability to adjust focus **Reporting Structure** + Reports to Supervisor or Manager in the Network Management department or Pharm Trade Relations department… more
- Elderwood (Buffalo, NY)
- …- $100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing ... with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities to engage new… more
- Fallon Health (Worcester, MA)
- …**Brief Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with all ... Medicaid Services (CMS), the Massachusetts Division of Medicaid (MassHealth) or Senior Care Options (Navicare)....(MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on… more
- WellSense (Boston, MA)
- … Manager of Hospital & Physician Contracting, the Senior Contract Manager assists in the development of network -wide strategies to improve efficiencies ... Senior Contract Manager -$5000 sign on bonus**...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- Elevance Health (Atlanta, GA)
- **Provider Network Manager Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The **Provider Network Manager Senior ** will be responsible for developing the provider network … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager Patient Services Hub Operations Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... people to make a difference with. **The opportunity** The Senior Manager , Patient Services Hub Operations seeks...Medicaid and Medicare. + Ability to work with senior leadership to define, establish, and manage key performance… more
- Healthfirst (NY)
- …trusting and long-term relationships with all key decision makers/influencers, including senior leaders and physicians + Local provider market knowledge and ... into provider specific plans and activities. + Understand emerging trends, network /market opportunities and competitive threats + Understand Healthfirst products and… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align the ... IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex issues where the analysis of situations… more
- CVS Health (Sacramento, CA)
- …more personal, convenient and affordable. **Position Summary** The Contract Negotiation Senior Manager negotiates, executes, conducts deep-dive review and ... not limited to: + Recruit providers as needed to ensure attainment of network expansion goals, achieve regulatory and/or internal adequacy targets + Support health… more
- Banner Health (AZ)
- …Incentive Program as part of your Total Rewards package. Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health ... care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide...position will have a direct interface with the Arizona Medicaid Agency (AHCCCS), Center of Medicare and Medicaid… more
- DESC (Seattle, WA)
- …substance use disorder treatment as part of the King County Integrated Care Network . These services are principally Medicaid -funded. In addition to targeting ... Senior Director of Clinical Programs Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) *Clinical Administration Apply Job Type… more
- NorthWest Senior & Disability Services (Salem, OR)
- …Put your management skills to work in a mission-driven environment. Northwest Senior and Disability Services is seeking an exceptional individual who exemplifies ... services staff who administer programs such as Medicare Savings Programs, Medicaid , Supplemental Nutrition Assistance Program (SNAP) food benefits, and Long-term… more
- VNS Health (Manhattan, NY)
- …generous tuition reimbursement, CEU credits, and advancement opportunities + Interdisciplinary network of colleagues through the VNS Health Social Services Community ... Reviews and confirms potential enrollees eligibility; collaborates with New York Medicaid Choice (NYMC) in scheduling New York Independent Assessor (NYIA)… more
- City and County of San Francisco (San Francisco, CA)
- …work of two main Divisions - the San Francisco Health Network and Population Health. + ✅Start with this Required Questionnaire ... the Jail Health Services' Complex Care and Population Health Manager will serve as a clinical leader for healthcare...following criteria: + Be eligible to participate in Medicare, Medicaid , and/or other federal healthcare programs + Possess a… more
- Robert Half (Dallas, TX)
- …interpreting data. + Establishing and cultivating business relationships and a professional network , including with senior executives. + Ability to translate and ... JOB REQUISITION Finance & Performance Management - Healthcare Industry - Manager LOCATION DALLAS ADDITIONAL LOCATION(S) AUSTIN, CHICAGO, HOUSTON JOB DESCRIPTION You… more
- Tufts Medicine (Lowell, MA)
- **Job Overview** Reporting to the Director of Network Performance at Tufts Medicine Integrated Network , you will be responsible for implementing, evaluating and ... aligned with the Hospital Quality and Equity Incentive Program of the Massachusetts Medicaid 1115 Waiver. This work will spread across the Tufts Medicine Health… more
- HCA Healthcare (Lexington, MO)
- …**Introduction** Are you ready to manage in a new era as a Clinic Practice Manager where building a healthier tomorrow is more than a job? Our Lafayette Regional ... happen at an HCA Healthcare facility. Be an impact as a(an) Clinic Practice Manager where your passion for leading and creativity are valued? We want your knowledge… more
- Molina Healthcare (WI)
- …teams, initiatives can overlap, and require collaboration, with Provider Network , Quality, Payment Integrity and other cross-functional areas. This individual ... efficient and effective program delivery + Package material for senior leaders, up to and including for C Suite...to ensure closer alignment between Clinical Operations and Provider Network processes for value programs that overlap end-to-end +… more
- Cardinal Health (Columbus, OH)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...prior authorizations, and appeals, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies,… more
- Geisinger (Muncy, PA)
- …promoting quality and efficiency in the delivery of healthcare for the Medicaid , Medicare and Commercial populations. Job Duties + Completes structured clinical ... primary care provider site and functions as a case manager for patients with behavioral health co-morbidities across the...one + Three medical plan choices, including an expanded network for out-of-area employees and dependents + Pre-tax savings… more
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