- Sumitomo Pharma (Columbus, OH)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- Conduent (Baton Rouge, LA)
- …and be part of a culture where individuality is noticed and valued every day. ** Senior Manager , Delivery** _(Position is ON-SITE in Baton Rouge LA)_ **Are you ... enjoy leading a team?** **About the Role** As a Senior Manager -Delivery, you will manage the performance...the performance and success of an approx 90 person Medicaid Long Term Care and Call Center team of… more
- CVS Health (Houston, TX)
- …Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and ... guidelines in support of national and regional network strategies.* Manages contract performance and supports the development and implementation of value-based … more
- CVS Health (Houston, TX)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct...implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Department 3006 - Finance Exemption Status Exempt Requisition # 24296 Direct Reports n/a Manager Title Accounting Operations Manager ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- CVS Health (Lansing, MI)
- …and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and ... Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct...implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet… more
- Humana (Lafayette, IN)
- …(FSSA) within the past year, engaged in the negotiation or the administration of a Medicaid contract on behalf of the state and/or Family and Social Services ... Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and...to the Contractor's care teams. + Partner with Dental Manager . **Use your skills to make an impact** **Required… more
- Elevance Health (Columbus, OH)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior - Medicare Cost Report Audit** **_Location: This is...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Elevance Health (Columbus, OH)
- …Medicaid Services to transform federal health programs._ The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** **Location:** This is a virtual position; the...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- CVS Health (Phoenix, AZ)
- …more personal, convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... innovative and strategic provider Medicaid relationships as part of the National VBC Business...enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development and implementation… more
- CVS Health (Austin, TX)
- …diversity and are dedicated to helping you achieve your career goals. The Senior Manager , Care Management develops, implements, supports, and promotes health ... healthcare to Aetna Better Health of Texas members. The Sr . Manager is responsible for oversight and...matter expert with the Aetna Better Health of Texas Medicaid contract and contract deliverables.… more
- Penn Medicine (Philadelphia, PA)
- …CVO completes and maintains credentials and privileges of 10,000 providers. As the CVO Senior Manager , you will collaborate with and provide data to health ... system operational leaders that include the Senior Manager of CVO Enrollment who has...(TJC), Department of Health (DoH), Centers for Medicare & Medicaid Services (CMS), and the National Committee on Quality… more
- Elderwood (Buffalo, NY)
- …with vested employer match up to 4% + Substantial Referral program Responsibilities Senior Contracting & Credentialing Manager Overview + Seek opportunities to ... Develop and maintain reimbursement tools for organizational use. + Create and maintain contract status summaries and tools to keep senior leadership apprised of… more
- Hartford HealthCare (Wethersfield, CT)
- …the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr . Payer Analyst develops a modeling process for ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops...to benchmark reimbursement rates to Contracted Commercial, Medicare and Medicaid reimbursement levels. 3. Builds contract terms… more
- CVS Health (Austin, TX)
- …management. Assigned to VBS Providers limited to only one line of business ( Medicaid ) and/or less complex VBS Medicaid models and smaller provider partnerships ... Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Coordinates and prepares for external provider meetings… more
- The Cigna Group (Denver, CO)
- The Military OneSource (MOS) Program Management Senior Manager will have oversight of the Military OneSource network and lead a multi-specialty team in support ... team who is accountable for network maintenance and performance. The Military OneSource Senior Manager will utilize in-depth contracting and network knowledge to… more
- LogixHealth (Bedford, MA)
- …verifying ownership structure and then report the structure to the respective state Medicaid and Medicare + Identify any outliers that clients may have in their ... level applications for new clients onboarding, including but not limited to, Medicare, Medicaid and BCBS + If a client resides in multiple states enrollment will… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Reporting to the Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety ... Manager is responsible for designing and executing quality measurement...on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into… more
- Helsinn Therapeutics (US), Inc. (Iselin, NJ)
- Senior Director Pricing, Contracting & Value Strategies Operations Iselin, New Jersey Apply Description Helsinn THERAPEUTICS (US), INc. Job Description Form main ... recovery for buy and bill products. + Evaluate proposed contract terms and offer alternatives based on analysis that...contracting for a manufacturer, Health Plan, or Pharmacy Benefits Manager (PBM) and exposure to Trade, Retail, Federal and… more
- DESC (Seattle, WA)
- 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 ... King County Integrated Care Network. These services are principally Medicaid -funded. In addition to targeting these services to people...by the population served. As a member of the senior management team, the Senior Clinical Director… more