- Teva Pharmaceuticals (Parsippany, NJ)
- Manager , Medicaid Compliance & Analytics Date: Aug 23, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... to make a difference with. **The opportunity** The Manager of Medicaid Compliance and Analytics will manage operations of Medicaid Supplementals,… more
- State of Georgia (Fulton County, GA)
- Office of Medicaid Coordination (OMC) Program Manager Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/56753/other-jobs-matching/location-only) ... in downtown Atlanta. Job Description Job Title: Office of Medicaid Coordination (OMC) Program Manager Pay Grade:...Division of IDD and BH in monitoring utilization trends, compliance , and performance of Medicaid programs administered… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …where associates want to work and help communities thrive. **SUMMARY** The Program Manager of Revenue Applications is responsible for the creation and designing of ... help others on the revenue management team with government reporting, revenue analytics and insights, data extraction, and adhoc reporting business and clinical… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Manager Data Analytics and Integration? At Parallon, you come first. HCA Healthcare ... lives and you have the opportunity to make a difference. We are looking for a dedicated Manager Data Analytics and Integration like you to be a part of our team.… more
- Point32Health (FL)
- …Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract ... mentoring to all members of the team. The Senior Manager will directly support complex analysis related to negotiations...meetings with Network Contracting staff as needed + Oversees analytics around network access and adequacy across all lines… more
- Boehringer Ingelheim (Ridgefield, CT)
- …as applicable, and to provide support to the Associate Director, Contract Compliance by: developing a comprehensive discount accrual forecasts and by providing ... Department, this individual will provide support to the Associate Director, Contract Compliance and the Director of Contract Development, as applicable, and as it… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- MaineCare Senior Contracts Manager Augusta , Maine , United States | Grants & Contracts | Full-time Apply by: Sept. 16, 2024 Apply with Linkedin Apply Department of ... Health and Human Services (DHHS)PUBLIC SERVICE MANAGER IIOpening Date: August 29, 2024 Closing Date: September...of MaineCare Services (OMS) within DHHS administers the State's Medicaid program, which provides free or low-cost health insurance… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance , Medical/BH Reimbursement Policy Manager will have overall responsibility for ... and Behavioral Health reimbursement policies for statewide impact. The Policy Manager is responsible for managing cross-departmental implementation of changes to… more
- Commonwealth Care Alliance (Boston, MA)
- …to needs of the program, Medicare, or Medicaid . + Coordinates, with the Compliance Manager , regular meetings with all FDR MS business owners. + Hold meeting ... Role is Important to Us:** Under direction of the Compliance Manager , , the primary focus of...for CCA's First Tier, Downstream, Related Entities (FDR) and Medicaid Material Subcontractors (MS), also known as the FDR… more
- Baylor Scott & White Health (Dallas, TX)
- …overall business objectives. 3. Directs the identification and evaluation of emerging compliance risks by utilizing regulatory guidance, data analytics , and ... JOB SUMMARY Director Billing, Regulatory, and Provider Coding Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor… more
- AbbVie (Irvine, CA)
- …sales and manage over $10Bn in Gross to Net Rebate processing. The Manager , Price Accounting & Forecasting lead is responsible for the operational support associated ... with one of the Big Three Pharmaceutical Benefits Manager Agreements. Primary responsibilities include supporting the strategic objectives of the Market Access… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Manager - Remote **Job Description** The Pharmacy Network Manager is ... performance to Network Management leadership, Network Client Services, Network Financial Analytics , Supply Shared Services, Pharmacy FWA and Audit and other as… more
- Insight Global (Scotts Valley, CA)
- Job Description The Medicare/DSNP ITS Technical Program Manager (TPM) Consultant will oversee integration and change management for multiple new Medicare/DSNP ... of care and benefit coordination, risk adjustment, and reporting and data analytics . These products will integrate with mature Medi-Cal solutions and business… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... on our Enterprise value stream. This role willleadthe evolution of our analytics modules and improving our user experience.This opportunity allows you to make… more
- Highmark Health (Harrisburg, PA)
- …software packages such as Microsoft PowerPoint, Excel, Word. + Knowledge of required compliance with Centers of Medicaid and Medicare services (CMS) laws and ... program participation, opportunity, performance, and progress. Engage appropriate resources, tools, analytics , and reports to enable success in the programs to drive… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Manager Strategic Workflow Optimization? At Parallon, you come first. HCA Healthcare has committed up ... you have the opportunity to make a difference. We are looking for a dedicated Manager Strategic Workflow Optimization like you to be a part of our team. **Job… more
- Advanced Systems Design (Montgomery, AL)
- Advanced Systems Design is seeking a Manager , Technical Training Mid Level Management for our client located in Montgomery, AL. This position is onsite in ... must comply with the Federal standards and regulations such as Medicaid Information Technology Architecture (MITA), CMS Seven Conditions and Standards,… more
- Tufts Medicine (Melrose, MA)
- …**Job Overview** This position leads efforts to ensure continuous organizational compliance and ongoing survey readiness with clinical quality and patient safety ... (TJC), Massachusetts Department of Public Health (DPH), Center for Medicare and Medicaid Services (CMS) and other regulatory agencies as needed. In this role,… more
- BrightSpring Health Services (Louisville, KY)
- …Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the General Manager , the Financial Planning and Analysis Manager is responsible for ... be to support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... integrity that focuses on comprehensive reimbursement, agile editing, and integrated analytics . Our interoperable, cloud-based solution is modular to meet a health… more