- Eisai, Inc (Boston, MA)
- …and executing plans to create and maintain treatment access for patients. Analyze data to provide specific actionable steps to facilitate patient access to ... of: NYC, NJ, RI, CT, MA, NH, ME, VT Job Summary The Senior Manager , Access and Reimbursement will appropriately inform, support and manage regional customers' needs… more
- Softrams (San Francisco, CA)
- …that others can understand.Preferred QualificationsIn-depth knowledge of Medicare and Medicaid policies, programs, systems, and data .Experience with Scaled ... with healthcare IT programs including working with healthcare payer data and business processes.Demonstrated abilities to analyze complex business processes… more
- CVS Health (Atlanta, GA)
- …goals._** **Position Summary** This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project ... on coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments. Will be lead for… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4624354) Apply Medicaid Program Manager 2 Salary ... Function of Work: To administer medium size and moderately complex statewide Medicaid program(s). Level of Work: Manager . Supervision Received: Broad from… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Dental Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4638724) Apply Medicaid Dental Policy Program ... of Quality, Innovation, and Medical Policy is seeking a Medicaid Dental Policy Program Manager (Management Analyst...provider qualifications and reimbursement policies for the Iowa Medicaid dental program. The position serves as the subject… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …Supplemental price data , validation, approve supplemental rebate payments to meet Medicaid payment deadlines + Research, resolve, and provide guidance to ... Manager , Medicaid Compliance & Analytics Date:...data in various formats. Company/Industry Related Knowledge: + Medicaid , Government Pricing and Rebate Pharmaceutical industry experience/knowledge preferred.… more
- Humana (Columbus, OH)
- …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in… more
- CVS Health (Northbrook, IL)
- …iCAPs and external CAPs across all markets to facilitate internal reporting to Medicaid leadership + Maintain documentation and data within the designated ... position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of… more
- CVS Health (Princeton, NJ)
- … specialties + Meet provider services requirements under this Agreement + Provide provider education and develop and deliver provider training + ... such as quality improvement projects, are included on project teams to identify provider perceived barriers and provide input on design and intervention test… more
- Staffing Solutions Organization (Albany, NY)
- …improvement efforts that span the Medicaid enterprise.The Medicaid Program Manager will work within the Division of Data Services & Analytics (DDSA) ... Medicaid Program Manager One Commerce Plaza,...program, whose mission is to transform the way that Medicaid data is organized, understood, and leveraged.… more
- CVS Health (Dallas, TX)
- …to helping you achieve your career goals._** **In this Texas Medicaid individual contributor role the contract negotiator:** + Negotiates competitive contracts ... and activities related to execution, loading, and ongoing maintenance of provider contracts. + Negotiates and supports the implementation of value-based contract… more
- CVS Health (Oklahoma City, OK)
- …contracting, provider issues/resolutions, related systems and information contained. * Provide guidance and share expertise to others on the team. * ... more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, conducts high level review and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Contract Manager - NC Medicaid **Job Description Summary** Responsible for the ... and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime Therapeutics organization to… more
- Aston Carter (Parsippany, NJ)
- …and rebate contract terms. Responsibilities: + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each ... and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions....for key findings and changes to state programs. + Provide backup for Medicaid team members in… more
- Humana (Richmond, VA)
- …us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Process Improvement who will analyze and measure the effectiveness of existing ... develops sustainable, repeatable, and quantifiable business process improvements. The Manager , Process Improvement works within specific guidelines and procedures;… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …hoc analysis. **How you'll spend your day** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter ... and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions....for key findings and changes to state programs. + Provide backup for Medicaid team members in… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …hoc analysis. **Essential Duties & Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each ... and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions....for key findings and changes to state programs. + Provide backup for Medicaid team members in… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4627371) Apply Medicaid Fraud Investigator ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud Control Unit ("COMFCU"). The COMFCU is crucial to preventing and… more
- Sutherland Global Services (Torrance, CA)
- …accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management ... Line: Produce solid and effective strategies based on accurate and meaningful data reports and analysis and/or keen observations. + Define Sutherland's reputation:… more
- Louisiana Department of State Civil Service (Thibodaux, LA)
- …Long-Term Care programs. LEVEL OF WORK: Supervisor. SUPERVISION RECEIVED: Direct from a Medicaid LTC Manager . Other reporting relationships may be approved by ... by the presence of direct supervisory responsibilities. Differs from Medicaid LTC Manager by the absence of...the analysis of available federal and historical state performance data and provides recommendations for improvement to share in… more
