- CVS Health (Nashville, TN)
- …and group Behavioral Health providers within a defined market. You will manage contract performance and support the development and implementation of strategic, ... network management unit. + Assists with the design, development, management , and or implementation of strategic network configurations, including integration… more
- Humana (Nashville, TN)
- … negotiations with targeted virtual care providers. + Assists with contract implementation , including participating in operational workgroups, triaging issue ... will be accountable for leading the contracting strategy to support the implementation of Humana Healthy Horizon's ( Medicaid ) virtual care provider partnerships… more
- Humana (Nashville, TN)
- …company committed to improving the health of the communities it serves. The ** Medicaid Capture Management ** team's purpose is to successfully position Humana to ... This role will work horizontally across the organization, coordinating with Medicaid leadership and operational subject matter experts to synthesize, assess, and… more
- Prime Therapeutics (Nashville, TN)
- …+ 8 years of relevant client services experience in healthcare or pharmacy benefit management , preferably in Medicaid . + 5 years of leadership / people ... we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director of...with the client in order to maximize client satisfaction, contract renewals and the adoption of new or expanded… more
- Prime Therapeutics (Nashville, TN)
- …the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid contract . + Maintains rebate records in accordance with all applicable state ... Operations **Job Description Summary** This position provides administrative oversight and management of rebate operations team and is responsible for directing day… more
- CVS Health (Nashville, TN)
- …including negotiating contract deal terms and support the development and implementation of value-based contract relationships, serving as SME in support of ... of cross-market network management . + Support design, development, management , and/or implementation of strategic network configurations and integration… more
- HCA Healthcare (Nashville, TN)
- …of Payer Contracting and Alignment, coordinate and administer managed care contract negotiation process for designated Division/Market /Practice Management or ... coordinate and assist in all Commercial, Managed Medicare and Managed Medicaid , Behavioral Health, Direct Employer and Workers Compensation Payor negotiations. You… more
- Prime Therapeutics (Nashville, TN)
- …identify, establish, expand and maintain strategic relationships and lead the implementation and execution of strategic plans and initiatives; maintain an intimate ... development and prioritization of strategic plans + Collaborate with extended Account Management team to advocate for and bring awareness to client initiatives,… more