- CVS Health (New York, NY)
- …National VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support ... processes and interdependences are identified and addressed. + Provides network development /expansion, provider relationships, and refinement activities in… more
- CVS Health (Parsippany, NJ)
- …and quality. + Health Plan/Payer or Provider Systems experience **Preferred Qualifications** + Medicaid regulatory experience + Medicaid contracting & setup ... health care more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director, Network Management is accountable for designing… more
- CVS Health (Parsippany, NJ)
- …must reside in New Jersey. The primary functions of the BH Senior Manager of Network Relations are: + Involvement in the development and maintenance of a ... + Provide provider education and develop and deliver provider training + Ensure network adequacy and appointment access, including development of network … more
- Molina Healthcare (New York, NY)
- …Molina Health Plan Network Provider Relations jobs are responsible for network development , network adequacy and provider training and education, ... staff including hiring, training and evaluating performance. * Assists with ongoing provider network development and the education of contracted network … more
- New York eHealth Collaborative (New York, NY)
- …reducing costs. On behalf of the State, NYeC leads the Statewide Health Information Network for New York (SHIN-NY), a network to connect healthcare providers ... This dynamic team is seeking a Data Scientist for the Performance Based Contracting Analytics team within NYeC to use directly contribute to moving the needle… more
- CVS Health (New York, NY)
- …is essential to achieve our goals. This includes, but not limited to, network , contracting , member service, and business leaders across the enterprise with ... of quality performance and leadership of Aetna's quality government programs (Medicare, Medicaid , IFP, Duals). This leader will focus on HEDIS Hybrid, STARS,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …process for Teva's largest PBM Customer(s). This individual will collaborate with Contracting on terms and conditions, analyze utilization data, process and pay ... Managed Care Commercial, Medicare Part D, Managed Medicaid , and Medical Agreement rebate claims in accordance with the terms and conditions of the rebate contract… more
- VNS Health (Manhattan, NY)
- …program and eligibility requirements, and service coordination. + Collaborates with the Network Development and Contracting and Service Operations ... generous tuition reimbursement, CEU credits, and advancement opportunities + Interdisciplinary network of colleagues through the VNS Health Social Services Community… more