- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …size or moderately complex statewide program (s) and supervision exercised. Differs from Medicaid Program Manager 3 by absence of responsibility ... QUALITY & INSTRUCTION MANAGER ( MEDICAID PROGRAM MANAGER 2) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4786098) Apply QUALITY… more
- CVS Health (Baton Rouge, LA)
- …Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the Market Manager will work closely with cross-functional ... leadership across the Medicaid business to establish and champion a local market...efforts at various governance, market, and executive leadership meetings. ** 3 . Strategy & Execution** + Monitors program … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Program Manager 1-A ( PROGRAM ...provided through the Managed Care Organizations (MCOs) that comprise Medicaid 's Healthy Louisiana program , as well as ... 1A CHILD CLINICAL SYSTEMS TEAM) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4788857) Apply Program Manager 1-A ( PROGRAM … more
- Prime Therapeutics (Baton Rouge, LA)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- Evolent (Baton Rouge, LA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Provider Engagement Manager - Oncology** We are looking for the next generation of health care ... leadership to review key performance indicators in relation to program adherence, with a focus on clinical policy alignment...years of relevant years of work experience. + Three ( 3 ) years of provider relations, account management, and/or provider… more
- CVS Health (Baton Rouge, LA)
- … 3 -5 years related experience Commercial HMO, PPO products knowledge + 3 -5 years related experience Medicare and/or Medicaid products knowledge **Education** ... more personal, convenient and affordable. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …is to investigate and prosecute health care providers who have defrauded the Medicaid program . The MFCU also investigates and prosecutes allegations of abuse, ... also serves, but not limited to, the following: + Medicaid Fraud Control Unit: The Louisiana Medicaid ...selected for this position. + Referred to the Hiring Manager for Review - Your application has been delivered… more
- Humana (Baton Rouge, LA)
- …us put health first** The Security Professional 2 reports to the Security Manager and will conduct open-source monitoring to identify, assess and mitigate threats to ... with Fusion Center Analysts and Humana Safety & Security program leads to support the Fusion Center mission of...military OR government experience may be a substitute + 3 + years professional experience; security or intelligence field is… more
- CenterWell (Baton Rouge, LA)
- …**Previous experience with pharmacy benefits management** + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in ... members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in leading teams (both direct… more
- Sanofi Group (Baton Rouge, LA)
- …treatments requires dedicated and knowledgeable customer facing support. Field Reimbursement Manager for REZUROCK. This is a regionally aligned, field-based position ... support, (2) coordination of HUB/Patients Services reimbursement services, and ( 3 ) managing payer/coverage pull-through initiatives. We are an innovative global… more