- CVS Health (Scottsdale, AZ)
- …This position follows a hybrid working model of three days onsite per week The Sr . Manager , Medicaid Compliance Monitoring will lead a team of compliance ... to develop and execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise value and is executed in accordance… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. **Position Summary** The ** Senior ** ** Manager , Reporting & Insights - Network Medicaid Ops** will apply ... to stakeholders, proposing analytical solutions to complex challenges. The Senior Manager will serve as a technical...data sets, key business metrics, trends, and drivers across Medicaid operational areas supported. + Provide leadership… more
- CVS Health (Columbus, OH)
- …service issues. **Required Qualifications** + 7-10 years work experience in a provider contracting role, Medicaid and/or behavioral health experience preferred. ... affordable. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health… more
- The Cigna Group (St. Louis, MO)
- **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... administration, and oversight of the Pharmaceutical Benefit Manager (PBM) Medicaid and Commercial Compliance Programs. This role reports directly to the Managing… more
- Robert Half Legal (Alpharetta, GA)
- …industry. The hire will be responsible for maintaining compliance with Medicaid and HIPAA regulations and overseeing enterprise risk management processes. This ... a healthcare or government contracting organization * Oversee the compliance with Medicaid and HIPAA regulations, as well as other applicable federal and state… more
- Elevance Health (Middletown, NY)
- …Health PulsePoint location listed above. The ** Provider Network Manager Sr ** will be responsible for developing the Medicaid provider network ... ** Provider Network Manager Sr **...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Indianapolis, IN)
- …- 2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. Primary ... and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard… more
- Elevance Health (New Hyde Park, NY)
- …(1-2 days onsite per week)** **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. Primary ... and support, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard… more
- Elevance Health (FL)
- …GA** **Hours: Monday - Friday** **Travel:** **(Hybrid 1-2 days onsite per manager discretion)** **Position Overview:** Develops the provider network through ... + Ensure that network composition includes an appropriate distribution of provider specialties + Conducts more complex negotiations and drafts documents **Required… more
- Johns Hopkins University (Middle River, MD)
- …if needed. + Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form of ... party payers. + Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form of… more
- Molina Healthcare (NM)
- …and monitoring for key performance measurement activities. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or ... healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs… more
- Elevance Health (Woodbridge, NJ)
- The Social Work Case Manager Sr will be dedicated to the NJ Healthy Homes program and will be responsible for ensuring coordination of Housing Services with all ... other services provided to NJ Medicaid members. This associate will work with the LTSS...related policies and procedures. + Cultivating stakeholder relationship. + Provide oversight of all house-related services and Wellpoint housing… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Senior Risk Manager (Registered Nurse) Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... a Forbes "Best Employer" seven times. Position Summary: The senior risk manager is responsible for the...Current Tennessee RN license. RN license Apply/Share Job Title SR RISK MANAGER ID 4109161 Facility Covenant… more
- Stanford Health Care (Palo Alto, CA)
- …collection and cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and ... optimal performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between...**What you will do** + Management and Leadership + Provide leadership, direction and guidance; Set departmental goals and… more
- General Dynamics Information Technology (Fairfax, VA)
- …be a meaningful part of improving how agencies operate. Our work depends on a Sr ./ Lead Salesforce Developer joining our team to support Centers for Medicare & ... Medicaid Services (CMS) activities. This position is 100% remote...At GDIT, we foster a people-centric environment. As a Sr ./ Lead Salesforce Developer supporting CMS, you will be… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Health Equity Director** **Job Class: State Program Administrator, Manager Senior ** **Agency: Mn Management & Budget** + **Job ID** : 81763 + ... and training and development opportunities. The Health Equity Director exists to provide leadership, strategic vision, and coordination of the state's health equity… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... Management and work closely with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental strategic product initiatives… more
- MyFlorida (Orlando, FL)
- SR LICENSED PRACTICAL NURSE ADMISSIONS 50556003 Date: Nov 7, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 841045 Agency: Veterans Affairs Working Title: SR LICENSED PRACTICAL NURSE ADMISSIONS 50556003 Pay Plan: Career Service… more
- Elevance Health (Indianapolis, IN)
- …project tasks; or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + Medicaid and / ... an Impact:** + Properly plan, implement and track Elevance Medicaid risk adjustment programs in your assigned markets +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CareOregon (Portland, OR)
- …as well as other contractual agreements for all lines of business. + Provide recommendations for the Compliance Manager regarding improvements or corrective ... hired for remote positions must reside in Oregon or Washington. Job Title Sr Compliance Specialist Exemption Status Exempt Management Level n/a Direct Reports n/a … more