- Teva Pharmaceuticals (Parsippany, NJ)
- Director Medicaid - Remote Date: Oct 30, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we ... market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts to ensure Teva stakeholders are abreast… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Implementation (Business Project Management) to lead within a ... management are best suited for this role. The Associate Director , Medicaid Implementation (Business Project Management) will...Up to 25% to Humana office locations. + **Workstyle:** Remote , must work hours within the eastern time zone.… more
- Elevance Health (Buffalo, NY)
- ** Medicaid Quality Management Director ** Location: This position will work a hybrid model ( remote and office). The candidate must live within 50 miles of the ... and reports quality measures per state, Centers for Medicare and Medicaid Services (CMS), and accrediting requirements. **Minimum Requirements:** + Requires BA/BS… more
- Elevance Health (Overland Park, KS)
- **Nurse Appeals Lead- Medicaid Appeals** Location: This position will work a hybrid model ( remote and in office). The ideal candidate will live within 50 miles of ... medical necessity. + Extrapolates and summarizes medical information for medical director , consultants and other external review. + Prepares recommendations to… more
- Molina Healthcare (Louisville, KY)
- …into business requirements. In partnership with Plan Growth Leaders, the Director , Customer Experience is responsible for developing, implementing and monitoring a ... successful strategy to achieve Molina's Medicaid membership retention goals & objectives across the enterprise...retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including… more
- Magellan Health Services (San Diego, CA)
- …MMUM). After Hours coverage may be required. General Job Information Title Medical Director , Behavioral Health (Part Time, Remote ), Licensed/Reside in CA Grade ... This position is remote in California, candidates must be licensed and...for the health plan(s) for all lines of business ( Medicaid , Medicare, and Commercial) and implements programs to support… more
- Conviva (Columbus, OH)
- …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director , Pharmacy Network Management - Remote **Job Description** The Senior ... Qualifications** + MBA,othergraduatework,orequivalenttrainingand/orexperience + IntimateknowledgeofandexperiencewithinthePBMindustry, Medicaid ,Medicare,andhealthplans + Familiaritywithcontractlanguageandriskmitigationconcepts +… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description ... (eg, URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQA-National Committee for Quality Assurance, and ERISA-Employee… more
- Walgreens (Deerfield, IL)
- …disability/veterans". $159-215-271K \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Healthcare Consultant Relations Remote **Company Indicator:** ... various other providers, etc), the various lines of business (Commerical, Medicare, Medicaid , etc) and the various healthcare services provided in the overall… more
- Public Partnerships LLC (Alpharetta, GA)
- …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... experience, including a minimum of 5 years working with Medicaid programs. + A minimum of 5 years working...state government and health plan clients. **Working Conditions:** + Remote Office Setting. + Local, statewide, and national travel… more
- The Cigna Group (Bloomfield, CT)
- …**_Evernorth Workplace Care - Personalized Care Where You Are_** ** Director , Occupational Health Services** Provides strategic thought leadership and directs ... privacy standards, regulatory compliance (OSHA, CDC, Centers for Medicare and Medicaid , HIPAA, and management of reputational issues. * Represents Occupational… more
- Amneal Pharmaceuticals (Washington, DC)
- Description: The Director , State Government Business plays a pivotal role in leading and managing State Government partnerships in collaboration with Government ... Children & Families, Department of Emergency Management, Department of Justice, and Medicaid . This position reports directly to Amneal's VP of Government Business… more
- Public Partnerships LLC (Columbus, OH)
- …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... **15+ years of engineering experience in the Healthcare Space working with CMS, Medicaid Agencies, HIEs and Commercial Health Plans, with deep experience working on… more
- Molina Healthcare (Starkville, MS)
- …Committees. * Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership, ... of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to;… more
- Molina Healthcare (Louisville, KY)
- …**Health Plan Performance metrics.** + **Health Plan operations experience - Medicaid & Medicare.** + **Process documentation experience.** + **Management consulting ... experience.** **Preferred License, Certification, Association** CPHQ To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
- CVS Health (Sacramento, CA)
- …Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board Certified Oncologist/Internal Medicine ... for this opportunity. This is a remote based from from home role. The Medical Affairs...Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs… more