- Sumitomo Pharma (Richmond, VA)
- …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 (Richmond, VA)
- …to make health care more personal, convenient and affordable. **Position Summary** The Medicaid senior manager , network management: * Negotiates, executes, ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies. . * Conducts research,… more
- CVS Health (Richmond, VA)
- …+ 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 (Richmond, VA)
- …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 (Richmond, VA)
- … 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 (Richmond, VA)
- …next role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager . In this individual contributor role, you will negotiate with, ... market-based, behavioral health groups and facilities providers. You will manage contract performance and support the development and implementation of strategic,… more
- Elevance Health (Richmond, VA)
- … 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
- Elevance Health (Richmond, VA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** ... will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for...with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health… more