- Sumitomo Pharma (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- Public Consulting Group (Providence, RI)
- …facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. + Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … more
- Elevance Health (Smithfield, RI)
- … 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; US...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- CVS Health (Cumberland, RI)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is...and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor… more
- Elevance Health (Smithfield, RI)
- … Services to transform federal health programs. The **Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior - Appeals** _This is a United States based,...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more