• Medicaid Payment & Financing…

    Mathematica (Topeka, KS)
    …in multidisciplinary teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and technical assistance projects ... expertise, and institutional knowledge of staff working in the Medicaid area Position Requirements: * Researcher candidates...years of experience working in health policy or health research , with a substantial portion of that time related… more
    Mathematica (09/14/24)
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  • Capture Lead, Medicaid Clinical…

    Humana (Topeka, KS)
    …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
    Humana (08/15/24)
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  • Clinical Program Manager Remote

    Prime Therapeutics (Topeka, KS)
    …drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is presenting a ... member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding… more
    Prime Therapeutics (09/15/24)
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  • Actuary Principal - Remote

    Prime Therapeutics (Topeka, KS)
    …drives every decision we make. **Job Posting Title** Actuary Principal - Remote **Job Description** The Principal Actuary is responsible for supporting the ... strategic pricing advice on structures and methodology using market research , financial projections, and complex actuarial modeling + Present...+ Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need… more
    Prime Therapeutics (09/15/24)
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  • Medical Director - Medical Affairs (Oncology)

    CVS Health (Topeka, KS)
    …Double Board Certified Oncologist/Internal Medicine for this opportunity. This is a remote based from from home role. The Medical Affairs department provides ... (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or… more
    CVS Health (09/27/24)
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  • Strategy Advancement, Principal (Fide-SNP/PACE)

    Humana (Topeka, KS)
    …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
    Humana (07/25/24)
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  • Senior Medicare Strategy Consultant

    Humana (Topeka, KS)
    …is one of the largest health benefits organizations in the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid ... prior management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
    Humana (09/12/24)
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  • Reimbursement Coordinator

    Cardinal Health (Topeka, KS)
    …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... agreed upon by the client + As needed conduct research associated with issues regarding the payer, physician's office,...+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,… more
    Cardinal Health (08/23/24)
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  • Case Manager

    Cardinal Health (Topeka, KS)
    …payer issues by region with the appropriate team * As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve ... * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: You will work remotely, full-time. It will… more
    Cardinal Health (09/24/24)
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