• Medicaid Market Development

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Medicaid Market Development Advisor provides support to assigned health plan ... problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Market Development Advisor serves as the primary resource on… more
    Humana (12/05/24)
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  • Product Management Advisor - Regulated…

    The Cigna Group (Morris Plains, NJ)
    …team is responsible for all regulated lines of business including Medicare, Medicaid , and Healthcare Reform/Exchange Market . The team supports Pharmacy Benefit ... **Product Management Advisor - Regulated Markets Communications** The Regulated Markets...+ Support Account Teams with communications inquiries, Field Alert development , and presentations + Manage document creation and annual… more
    The Cigna Group (12/17/24)
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  • Pharmacist - Clinical Advisor

    CVS Health (Columbus, OH)
    Advisor should be able to manage at least 2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, and or Commercial). The HP ... convenient and affordable. **Position Summary** The Health Plan Clinical Advisor is a client facing role that manages the...or within a health plan. + Experience in all market segments (Medicare, Medicaid , Exchange and Commercial)… more
    CVS Health (12/14/24)
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  • Provider Contracting, Senior Advisor

    The Cigna Group (Bloomfield, CT)
    …the Pharmaceutical manufacturers for our Medicare, Commercial Government, LTC, and Managed Medicaid books of business as well as working with Ascent Health Services ... Cigna Health Plan and large Custom Client formulary and rebate requests or market strategies. + Assist the Account Directors in finalizing all manufacturer rebate… more
    The Cigna Group (12/17/24)
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  • Assistant General Counsel, Market Access

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …for independently providing innovative and strategic legal support and solutions as a market access attorney and the primary legal advisor for market ... mentor in order to foster their professional growth and development as well as their achievement of Company and/or...colleagues on proposed and enacted laws relating to pricing, Medicaid , Medicare, and other market access matters… more
    Daiichi Sankyo Inc. (11/16/24)
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  • Bilingual Community Outreach & Engagement…

    Molina Healthcare (Los Angeles, CA)
    …territory and schedule to meet business needs. Knowledge of the Medicaid market , Healthcare, Community Resources, etc highly desired. ... initiatives as assigned by regions. + Key in the development of SMART goals and provide input on department...an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Medicare, Medicaid , Medi-Cal, Cal-AIM, health coach, community health advisor more
    Molina Healthcare (11/26/24)
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  • Bilingual Community Engagement & Growth Sr Spc.…

    Molina Healthcare (Henderson, NV)
    …and External Candidates Key Words: health care, insurance, health insurance, Medicaid , Medicare, health coach, community health advisor , family advocate, ... Drive membership growth and retention for Molina Healthcare of Nevada Medicaid . + Build and maintain relationships with community-based organizations and healthcare… more
    Molina Healthcare (12/12/24)
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  • Director of Home Care Operations

    Truecare Homecare Agency (Brooklyn, NY)
    …process improvements. The Director of Operations will serve as a key advisor to executive leadership, contributing to strategic planning, resource allocation, and ... and compliance with healthcare regulations. + Serve as a key advisor to executive leadership, contributing to strategic planning and decision-making. Nursing… more
    Truecare Homecare Agency (11/29/24)
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  • General Counsel-Doea

    MyFlorida (Tallahassee, FL)
    …to improve the quality and quantity of legal services provided to older individuals. Medicaid Program - Serves as principal legal advisor for the Department to ... Responsible for planning, organizing, budgeting, supervising, and directing the development , implementation and coordination of all legal services necessary to… more
    MyFlorida (12/13/24)
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  • Sr Community Engagement Specialist (Cantonese…

    Molina Healthcare (San Gabriel, CA)
    …is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: community health advisor , enrollment, Medicaid , Medicare, Medi-Cal, family advocate, health educator, ... "choice" rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Responsible for achieving monthly,… more
    Molina Healthcare (12/05/24)
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  • Director, Contracting Operations - Job ID:

    Ascendis Pharma (Princeton, NJ)
    …values of Patients, Science, and Passion, we use our TransCon(R) drug development platform to fulfill our mission of developing new and potentially best-in-class ... Contract Operations to join our team. Responsibilities will include implementing market access pricing & contracting strategies and tactics across all relevant… more
    Ascendis Pharma (12/10/24)
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  • Client Relationship Executive, GPS

    Deloitte (Baltimore, MD)
    …Health Sector. In this role, candidates will be responsible for relationship and business development as well as sales for the wide range of services offered by ... the relationship between Deloitte and the client, helping to market Deloitte's services and capabilities to the client and...will work directly with our Centers for Medicare & Medicaid Services (CMS) clients. As the CMS Client Relationship… more
    Deloitte (12/11/24)
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  • Health Law Regulatory Attorney

    Hartford HealthCare (Hartford, CT)
    …healthcare regulatory law. Handling a wide spectrum of issues involving the development of new and existing business services, facilities, and equipment, the ... healthcare system. Key Accountabilities: * Provide advice and guidance to market and clinical business units on regulatory, compliance, and industry developments,… more
    Hartford HealthCare (11/06/24)
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  • Housing Specialist, Phoenix AZ area

    Molina Healthcare (AZ)
    …Community Health Worker, Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid , Medicare, HEDIS, CAPHS, equity community health advisor , family ... Navigator, Assistor, Connecter, Promotora, Marketing, managed care, MCO, member, market , screening, education, educating, Medicare, Medicaid , Marketplace,… more
    Molina Healthcare (12/21/24)
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  • Assistant Deputy Commissioner, Finance, Contracts,…

    City of New York (New York, NY)
    …recruitment, position classification, personnel relations, employee benefits, staff development , employment program planning/administration, labor market ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more
    City of New York (11/24/24)
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  • Senior IT Solution Owner

    Banner Health (AZ)
    …(BPN) has over 1 Million members who live across the Commercial, Medicare, and Medicaid population and multiple provider networks within and outside of AZ. The CoE ... will possess strong communication and presentation skills. Candidates will understand our market , our customers, and the business to make sound product feature… more
    Banner Health (12/18/24)
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  • Vice President, Chief Medical Officer (Hybrid)

    CareFirst (Baltimore, MD)
    …Management program (including CMS Stars and risk adjustment), and the ongoing development and implementation of health care policy and technology assessment. + ... and satisfaction for members and providers. Serves as a clinical advisor /leader for teams dedicated to concurrent review, prior authorization, case management,… more
    CareFirst (12/06/24)
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  • Clinical Documentation Integrity Manager RN

    AdventHealth (Daytona Beach, FL)
    …and change management. Is actively involved in future planning and strategic development for system CDI needs, to include policy development , program ... action plans when appropriate. + Develops and monitors implementation of market departmental goals/objectives; oversees the performance improvement process for all… more
    AdventHealth (11/02/24)
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  • Principal Application System Analyst: Facets

    BlueCross BlueShield of North Carolina (NC)
    …the processes, technologies, and people components. + Serve as a trusted, expert advisor or a Subject Matter Expert for systems analysis and process design services. ... and conflicts across concurrent project activity. + Participate in the development and support of scope and implementation strategies, including definition, … more
    BlueCross BlueShield of North Carolina (12/19/24)
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  • Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Bethesda, MD)
    …the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight, Division of ... Marketplace Eligibility and Enrollment Group. Responsibilities Serves as a technical advisor to leadership, drafting policies and regulations that promote the… more
    Centers for Medicare & Medicaid Services (12/21/24)
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