- CVS Health (Scottsdale, AZ)
- …follows a hybrid working model of three days onsite per week The Sr. Manager , Medicaid Compliance Monitoring will lead a team of compliance professionals to ... develop and execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise value and is executed in… more
- Prime Therapeutics (Columbus, OH)
- …decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for ... process adherence in support of Prime's contracting efforts with Louisiana Medicaid PBM business. This position is responsible for supporting the solicitation,… more
- HCA Healthcare (Nashville, TN)
- …with purpose and integrity. We care like family! Jump-start your career as a Senior Project Manager II today with Parallon. **Benefits** Parallon, offers a total ... vary by location._** Come join our team as a Senior Project Manager II. We care for...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Abbott (Boston, MA)
- …way patients and professionals measure, track and analyze glucose levels. As a Senior Strategic Account Manager , responsibilities entail securing access for the ... following customer types: Health Plans, Managed Care Organizations, Employer Groups, managed Medicaid , FFS Medicaid and Medicare plans within the market access… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Billing Senior Manager you want with your current employer? We have an exciting ... colleagues. Do you want to work as a Billing Senior Manager where your passion for creating...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Project Manager I you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Senior Project Manager I where your passion...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Project Manager I? At Parallon, you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Senior Project Manager I like you to...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- CVS Health (Sacramento, CA)
- …more personal, convenient and affordable. **Position Summary** The Contract Negotiation Senior Manager negotiates, executes, conducts deep-dive review and ... Manages contract performance and supports the development and implementation of value -based contract relationships in support of business strategies + Collaborates… more
- Healthfirst (NY)
- …Maintain up-to-date knowledge of all assigned initiatives, with a focus on measurable value + Coach, train, and educate business teams on how to leverage performance ... government or other healthcare agency. + Experience working with one or more Medicaid managed care plan products + Black Belt or equivalent certification in Lean… more
- Molina Healthcare (WI)
- …implementing and tracking performance for clinical programs that bring organizational value . Although primarily working with clinical teams, initiatives can overlap, ... for its success, reporting to the Director of Clinical Value . **KNOWLEDGE/SKILLS/ABILITIES** + Lead teams in identifying, defining, sizing/validating, prioritizing,… more
- University of Colorado (Aurora, CO)
- …initiatives to include but not limited to NCQA/PCMH, RAEs, Primary Care 1st, Medicaid UPL, and other value -based programs. + Identifies and leverages ... **CU Medicine Family Medicine Louisville Medical Director Open Rank - Senior Instructor Series** **Description** **University of Colorado Anschutz Medical Campus**… more
- DESC (Seattle, WA)
- Senior Director of Clinical Programs Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) *Clinical Administration Apply Job Type ... King County Integrated Care Network. These services are principally Medicaid -funded. In addition to targeting these services to people...by the population served. As a member of the senior management team, the Senior Clinical Director… more
- CenterWell (Columbus, OH)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Prime Therapeutics (Columbus, OH)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- City of New York (New York, NY)
- …health outcomes. The Bureau of Human Resources seeks to hire an Administrative Manager , NM/L-III ( Senior Director, Office of Compliance Services). DUTIES WILL ... are permanent in the civil service title of Administrative Manager or comparable civil service titles including but not...to the work of public health. True to our value of equity as a foundational element of all… more
- Deloitte (Baltimore, MD)
- …and human resource performance and establish a culture focused on adding business value ? That is what the new generation of human resource transformation is all ... October 31, 2024. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you will… more
- University of Colorado (Aurora, CO)
- …Jobelephant.com Inc. All rights reserved. Posted by the FREE value -added recruitment advertising agency (https://www.jobelephant.com/) Case Manager - Neurological ... **Case Manager - Neurological Disorders (FND) Program** **Description** **University of Colorado | CU Anschutz Medical Campus** **School/College/Department/Unit Name:… more
- Waystar (Louisville, KY)
- …of the Position:** We are looking for a Strategic Client Solutions Manager who is passionate, curious, and joyfully optimistic. The Strategic Client Solutions ... Manager leads and drives the success of the Strategic...up of roles such as the Strategic Solutions Analysts, Senior Strategic Solutions Analysts, and Strategic Solutions Team Leads.… more
- Deloitte (Columbus, OH)
- …role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist ... Deloitte Managers, Senior Managers and Partners in providing strategic and technical...paying for what is done to paying for the value provided. Deloitte health actuaries are involved in designing… more
- State of Massachusetts (Boston, MA)
- The Health Information Management (HIM) Manager oversees all activities, functions, and staff related to the security, integrity, accessibility, and confidentiality ... Management Department to ensure ongoing compliance with Center for Medicare and Medicaid Services (CMS) Conditions of Participation (COP) and The Joint Commission… more