- CVS Health (Hartford, CT)
- …Summary This role on the NSPE Value Based Analytics team supports Aetna's Medicaid segment. Join this fast-paced team that works closely together to promote the ... and growth of value based contracts across Aetna's 16 Medicaid plans. Responsibilities may include: Querying and analysis of...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
- Stryker (Los Angeles, CA)
- …Medicare and Medicaid Services (CMS). + Knowledge of Commercial payor Medical Coverage and Reimbursement Policies and Guidelines. + Knowledge of state ... Will Do** Reporting into the Senior Director of Health Economics Outcomes Research (HEOR), Reimbursement & Market Access, provide...Medicaid Fee Schedules and Medical Coverage and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 1--A (Women's Health Program Manager ) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4554510) Apply ... Medicaid Program Manager 1--A (Women's Health Program Manager ) Salary...Rouge, LA Job Type Classified Job Number MVA/SP/196556 Department LDH- Medical Vendor Administration Opening Date 06/24/2024 Closing Date 6/29/2024… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 3(Claims and Encounter Processing Manager ) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4556652) Apply ... Medicaid Program Manager 3(Claims and Encounter Processing Manager ) Salary...is located within the Louisiana Department of Health / Medical Vendor Administration / Medicaid Enterprise Systems… more
- Bristol Myers Squibb (Baltimore, MD)
- …insurance coverage and reimbursement, inclusive of private Commercial coverage, Medicare, and Medicaid + Knowledge of health economics + Thorough knowledge of ... more: careers.bms.com/working-with-us . **Summary:** The Cellular Therapy Market Access Manager (CMAM) is responsible for executing access and reimbursement… more
- Commonwealth of Pennsylvania (PA)
- Managed Care Financial Manager Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4541701) Apply Managed Care Financial Manager Salary ... of Fiscal Management, is seeking a Managed Care Financial Manager . You will play a vital role in p...operation for the Commonwealth's programs within the Office of Medical Assistance Programs. Apply today to elevate your career… more
- Humana (Columbus, OH)
- …capabilities interrelate across department(s). The Associate Director- Business Systems Manager will report into the Procurement Center for Enablement ('C4E') ... sustainable, repeatable, and quantifiable business system related process improvements. The Manager of Business Systems will work within specific guidelines and… more
- Grifols Shared Services North America, Inc (Washington, DC)
- …please visit our website: http://www.grifols.com **Summary** The North American Corporate Affairs Manager for Health Policy position is a critical part of a high ... thinking skills and a working knowledge of US health policy particularly Medicare, Medicaid and the manifold US government health programs. This position is expected… more
- AdventHealth (Orlando, FL)
- …than 32,000 inpatients and 125,000 outpatients each year. **Unit Highlights:** + The Cardiac Medical Intensive Care Unit (located on the 5 th floor of our Ginsburg ... daily goals, and plans for discharge. **The role you'll contribute:** The Nurse Manager (NM) is a registered professional nurse who has the most direct impact… more
- KPMG (Baltimore, MD)
- …sector and state/local government industry + Handle engagement risk, project economics , planning and budgeting, account receivables, and definition of deliverable ... + Minimum ten years of experience in the Health and Human Services Medicaid solution delivery market, working for a commercial off-the-shelf (COTS) solution provider… more
- Boehringer Ingelheim (Ridgefield, CT)
- …related to 340B and Manage the 340B dispute process for either State Medicaid Program, Covered Entities and/or PBMs. + Participate in the LTF Development and ... from an accredited institution required. + Advanced degree certification in marketing, economics , finance, or related field is strongly preferred. + Minimum of five… more
- AmeriHealth Caritas (Orlando, FL)
- …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... clinically sound services to all Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures… more
- AmeriHealth Caritas (Newark, DE)
- …resolution and negotiation. + Understanding of and expertise in quality improvement and medical economics . + Strong leadership skills. + Excellent analytical and ... clinically sound services to all Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures… more
- Arkansas Government Job (Little Rock, AR)
- … claims payment system. Experience working with or managing Division of Medical Services vendor contracts. Experience working with Medicaid beneficiary system. ... employees so you can help care for others. Hiring Manager : David Jones PREFERENCES: Must possess a valid Arkansas...in risk management and insurance, business administration, public administration, economics , or a related field; plus five years of… more
- Molina Healthcare (West Louisville, KY)
- **Job Description** **Job Summary** Manager , Risk Adjustment - Predictive Analytics is responsible for leading, organizing and directing Molina's Risk Adjustment ... as well as automated analytical modules related to Risk Adjustment for Medicaid , Marketplace and Medicare/MMP. + Manage the designing and developing of Automated… more
- CareOregon (Portland, OR)
- …Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager Direct Reports n/a Requisition # ... + Identify any actuarial unsound adjustments to the rates. + Provide medical cost and utilization trend recommendations for forecasting purposes. + Gather and… more
- HCA Healthcare (Largo, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- CareOregon (Portland, OR)
- …Title Healthcare Analyst Exemption Status Exempt Department Informatics & Evaluation Manager Title Director, Data Science, and Informatics Direct Reports n/a ... etc.) Preferred + Master's or bachelor's degree in STEM, Finance, Economics , Business Administration or Public Health + Experience planning, implementing, and… more