- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Director of Medicaid Long Term Care Policy (Health Program Director 1) Occupational Category Health Care, ... The incumbent of this position will serve as the director of the Bureau of Medicaid Long-Term...of the state and budget making process. The Bureau Director will be responsible for overseeing vendor/ contract … more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …Deputy Commissioner & Chief Strategy Officer and have tight alignment to the State Medicaid Director within DSS. + Leadership, Planning & Execution. + Manage the ... Director of Technology Modernization, Medicaid Programs...in the vacancy under durational appointment, initially a three-year contract . The position will be budgeted and made… more
- CVS Health (Princeton, NJ)
- …and cost initiatives. **Responsibilities include, but not limited to:** + Manages Medicaid contract performance and drives the development and implementation of ... more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director , Network Management is accountable... contracting & setup experience. + Experienced in provider/vendor contract set up in core Aetna Medicaid … more
- CVS Health (Atlanta, GA)
- …and lead team members to do the same. (10% time) + Assure compliance with Medicaid contract and supplemental analysis requests from market leads or the State. ... actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …These management duties include working the Governor's Boards and Commissions staff and Medicaid Director to replace a vacancy on the P&T committee, coordinate ... deliverables are timely and accurate. Makes recommendations to Pharmacy Director regarding payment of contract invoice. Plan,...of law. Responds, on behalf of the Secretary and/or Medicaid Director , to correspondence and inquiries from… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …Linkedin Apply Department of Health and Human Services (DHHS)Asst. Div. Director Medicaid /Medicare ServicesOpening Date: August 28, 2024Closing Date: September ... MEDICAID MANAGER FOR THIRD PARTY LIABILITY UNIT Augusta...each of these business units and manages the vendor contract for hospital and long-term care audits and is… more
- Motion Recruitment Partners (Canton, MA)
- Project Manager - Medicaid Canton, Massachusetts **Open to Remote** Contract $65/hr - $65/hr Our client is looking for a contract Project Manager - ... in CST or EST. As the Project Manager - Medicaid , you will be the driving force behind the...organizational risk and maximize strategic opportunities. Reporting to the Director of the Corporate Program Management Office (CPMO), you… more
- Elevance Health (Metairie, LA)
- **Anticipated End Date:** 2024-09-27 **Position Title:** Dir II Medicaid State Ops **Job Description:** Location: This position will work a hybrid model and must ... with applicable regulatory requirements; ensures alignment and support with overall Medicaid Business Unit mission, goals and objectives. + Responsible for local… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Senior Director , Contract Performance is responsible for evaluating and driving performance for value-based contracts including Medicare, ... Medicaid and commercial arrangements. The Senior Director ...and procedures, budget, work standards in coordination with AVP Contract Support, VP Contract Operations and broader… more
- Astellas Pharma (Northbrook, IL)
- …flexible and scalable to accommodate potential future contracting strategies and required contract operations activities. + Work with Contracts and Pricing teams to ... ensuring success. + Directs selected special projects related to Revenue Management and Contract Data Analytics. + Ensures appropriate SOX controls are in place, and… more
- CVS Health (Harrisburg, PA)
- …personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing ... with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help...to bring accessible healthcare to our members. The LTSS Director , Clinical Health Services ( Director ), will partner… more
- Humana (Oklahoma City, OK)
- …include: + Partner with Humana Healthy Horizons to directly support Humana's SoonerSelect Medicaid contract . + Serve as Humana's regional leader for state ... and business messages to state officials (including Governor's Office, Medicaid , legislators, regulatory agency leaders, attorneys general (as appropriate) and… more
- Elevance Health (Waukesha, WI)
- …our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health medical services, to ... **Anticipated End Date:** 2024-09-15 **Position Title:** Behavioral Health Medical Director - Child & Adolescent Psychiatry **Job Description:** Wellpoint, formerly… more
- Henry Ford Health System (Troy, MI)
- …relations for assigned accounts using a coordinated team approach including the Director , and contract and provider services administrators. HAP's focus is ... The Director , Provider Network Management (PNM) with Health Alliance...of care, achieving desired quality results using Medicare Star, Medicaid and HEDIS, cost containment and member satisfaction. Through… more
- Boehringer Ingelheim (Ridgefield, CT)
- …To protect the assets of BIPIs and to provide support to the Director , Contract Compliance by: managing the administration of Administrative Fees (BIPI) ... Within Contract Compliance, this individual will also provide support to the Director , Contract Compliance as it pertains to managing the terms and… more
- Elevance Health (Topeka, KS)
- **Anticipated End Date:** 2024-09-19 **Position Title:** Compliance Director KanCare **Job Description:** **Compliance Director KanCare** **Location: Open to the ... 1-3 days in office per week. The **Plan Compliance Director ** owns oversight to ensure monitoring is performed in...monitoring is performed in compliance with the Kansas state contract requirements and connects with state plan leaders and… more
- Kepro (AR)
- …multiple areas of the UM program and oversee the implementation of clinical contract requirements and Medicaid rules and regulations. Job Responsibilities: + ... partner for health solutions in the public sector. Acentra is looking for a Clinical Director to join our growing team. Job Summary: The Clinical Director is… more
- CVS Health (Richmond, VA)
- …involved in local communities and leading the way in health care. The LTSS Director , Clinical Health Services ( Director ), will partner closely with the LTSS ... CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, and State Agencies to build a transparent and trusting… more
- SERV Behavioral Health System (New Brunswick, NJ)
- …Counties in New Jersey. We are currently seeking an experienced Regional Director for Outpatient Services with Seven years post-master's experience; five years ... implement SERV's treatment programs at the designated regional office. The Regional Director will cooperate with the licensee and Department of Human Services staff… more
- Cardinal Health (Columbus, OH)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more