- Daiichi Sankyo, Inc. (Bernards, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid , product pricing, and government price reporting. Coordination ... senior management.Responsibilities- Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government… more
- NORC (WA)
- Senior Research Scientist to Lead Policy...services research , including but not limited to Medicare , Medicaid , payment and delivery system reform, ... NORC at the University of Chicago seeks a qualified Senior Research Scientist to provide technical, policy,...also lead other program and policy projects related to Medicare and Medicaid , including projects involving policy… more
- Abt Global Inc. (Cambridge, MA)
- …seeks to add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate ... key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a...Medicaid Services (CMS). As a member of the Research , Monitoring, and Evaluation Capability, you will collaborate on… more
- CVS Health (Lansing, MI)
- …regulatory, business, analytical and communication skills to support, manage and develop Medicare and Medicaid compliance programs and processes that promote ... will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams...implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals and applicable Medicaid … more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... and End Stage Renal Disease (ESRD) processes. . Supports Medicare Pharmacy Specialists in the research and.... Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree… more
- Molina Healthcare (Columbus, OH)
- **Job Summary** As the leader for Molina's Medicare - Medicaid product (Duals), this position has P&L, business strategy, sales distribution and provider network ... Medicaid benefits (including value-adds). + In partnership with senior leadership, determines the annual implementation of Molina's Duals...Bachelor's degree and at least 15 years of deep Medicare and Medicaid (LTSS) experience. + Strong… more
- NORC (WA)
- Senior Research Scientist - Health Care Programs Research - Hybrid Office or Remote Job no: 503182 Work type: Regular Full-Time Location: Washington, DC, ... Health Care Programs Department at NORC as the newest Senior Research Scientist! Here you will have...care delivery, from private marketplaces and employer-sponsored insurance to Medicare and Medicaid ; from large health care… more
- Abt Global Inc. (Atlanta, GA)
- … research expert with demonstrated success directing projects funded by the Centers for Medicare and Medicaid Services (CMS). As a member of the Research , ... Opportunity** Abt Global seeks to expand its health care research team with the addition of a health care...a project director or equivalent for projects focused on Medicare policy. + Contribute subject matter expertise in the… more
- University of Michigan (Ann Arbor, MI)
- Research Area Specialist Senior /Intermediate Apply Now **How to Apply** A cover letter is required for consideration for this position and must be included as ... their families, healthcare systems, and public programs such as Medicare and Medicaid . The T2DM VCID Study...employer. **Job Detail** **Job Opening ID** 258727 **Working Title** Research Area Specialist Senior /Intermediate **Job Title** … more
- University of Southern California (Los Angeles, CA)
- Senior Research Associate - Program on Medicines and Public HealthApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA ... Clinical Pharmacy at the University of Southern California has an opportunity for a Senior Research Associate for the newly established Program in Medicines and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Data Analyst** **Job Class: Research Analysis Specialist Senior ** **Agency: Human Services Dept** + **Job ID** : 83350 + **Location** : St. Paul ... Grant (FBG) and other federal or legislative awards. Expertise pertains to grants, Medicare / Medicaid Programs, and data analytics. The focus of this position… more
- City of New York (New York, NY)
- …(Local Law 78) Local, State, and Federal legislation, policies, and programming. Medicaid Managed Care and Medicare Advantage payment and partnership initiatives ... BUT NOT BE LIMITED TO: Finance: - Provide expert research briefs and opinions on: Healthcare Accountability and Consumer... projects to obtain improved services and outcomes for Medicaid and Medicare enrollees. - Advance adoption… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... all quality related obligations required by the Centers of Medicare and Medicaid Services (CMS), the Massachusetts... Medicaid Services (CMS), the Massachusetts Division of Medicaid (MassHealth) or Senior Care Options (Navicare).… more
- Humana (Louisville, KY)
- …regulations governed by the Department of Insurance and CMS + Experience with Medicaid or Medicare **Preferred Qualifications** + Graduate or advanced degree + ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... opportunity seizing solutions to drive performance for value-based contracts for Medicare Advantage, Managed Medicaid and Commercial arrangements. * Support… more
- New York State Civil Service (Albany, NY)
- …staff, DFA Deputy Director, Division of Budget, and the Federal Centers for Medicare & Medicaid Services (CMS).* Ensure rate methodologies are accurately updated ... Yes Agency Addiction Services and Supports, Office of Title Senior Health Care Fiscal Analyst/ Trainee (NY HELPS )...is responsible for the following activities:* Assist in calculating Medicaid and state aid rate setting in accordance with… more
- GRAIL (Washington, DC)
- …focusing on maximizing the impact through strategic interactions with the Centers for Medicare and Medicaid Services (CMS) and the CMS Coverage and Analysis ... As the Policy and Reimbursement Lead reporting to the Senior Vice President of Government Affairs & Alliance Development...plans. + Extensive knowledge of public program coverage, including Medicare and Medicaid . + Understanding of the… more
- LifePoint Health (Brentwood, TN)
- …do:* Actively participate in the preparation, analysis and submission of Medicaid / Medicare cost reports for free-standing Behavioral Health and Rehabilitation ... * Senior Reimbursement Analyst* *Who we are:* At Lifepoint...participate in department's mission to prepare, review and submit Medicare and Medicaid cost reports. * Reviews,… more
- UPMC (Pittsburgh, PA)
- …with clinical management of the designated line of business (Commercial, Exchange, Medicare , Medicaid , Exchange, and/or CHIP) from a pharmacy formulary and ... of managed care experience in formulary development and management, especially in Medicare , Medicaid , Commercial and/or Exchange lines of business. + Effective… more
- MetLife (New York, NY)
- …under government health care programs such as the Medicare Advantage and Medicaid Managed Care programs. * Research and analyze managed care and state ... may meet its business needs while complying with applicable Medicare Advantage, Medicaid Managed Care, and state...companies that participate in Medicare Advantage and Medicaid Managed Care programs. * Strong research … more
