- Prime Therapeutics (Salem, OR)
- …Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government Programs - Medicare & Managed ... skills in developing comprehensive strategy to drive growth in government programs ( Medicare and/or Managed...the healthcare industry and recognition for government program expertise; strong understanding of Medicare Part… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to obtain one. * Knowledge of government and CMS policies regarding Medicare and Medicaid eligibility, programs , and beneficiaries. * Knowledge of managed ... Blue Cross and Blue Shield of Minnesota Position Title: Vice President of Health Solutions Location: Hybrid...ensure efficient and impactful execution of all products and programs . This role is accountable for demonstrating the value… more
- Stanford Health Care (Palo Alto, CA)
- …member of the Stanford Health Care leadership team and reporting to the Executive Vice President and Chief Financial Officer, collaborates and works closely with ... to reimbursements. Oversee the handling of external audits by Medicare , Medi-Cal and other government agencies. Provide...operating budget for the departments reporting to the Senior Vice President and Controller which include Accounting,… more
- Henry Ford Health System (Troy, MI)
- The Senior Vice President (SVP) - Markets at Health Alliance Plan (HAP) is a high-impact opportunity to shape the growth and product strategy for HAP, an ... This leader coordinates business processes across Business Development, Commercial Sales, Government Programs , Product and Community Outreach to optimize… more
- AmeriHealth Caritas (Southfield, MI)
- **Role Overview:** ;The Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete Medicaid ... government , or healthcare management. + Deep understanding of Medicaid/ Medicare operations and benefit administration. + Proven ability to navigate complex,… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** ;The Vice President of Plan Operations & Administration leads operational strategy and execution for the AmeriHealth Caritas Ohio Medicaid ... government , or healthcare management. + Deep understanding of Medicaid/ Medicare operations and benefit administration. + Proven ability to navigate complex,… more
- AmeriHealth Caritas (Raleigh, NC)
- **Job Summary** The VP Plan Ops and Admin is responsible for leading the Plan Operations for the North Carolina Medicaid plans. This role will support the Market ... President in executing the enterprise strategic plan at the...meetings.; **Essential Functions** + Apply deep knowledge of state program contractual and regulatory requirements (benefit and payment rules,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to blue. What We Need As a core member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support to ... best in class 5-star strategy. In collaboration with the VP , Medicare Stars, this person will work...with at least 2 years working on Center for Medicare and Medicaid (CMS) Stars programs , National… more
- Drips (OH)
- …plans + Deep health plan expertise required, with strong preference for government programs ( Medicare , Medicaid). Commercial-only experience acceptable but ... Position Title: VP of Healthcare Solutions and Growth Location: Remote...value-driven landscape. Job Overview: We are seeking a driven VP of Healthcare Solutions and Growth with healthcare experience… more
- Texas Health Resources (Arlington, TX)
- The Vice President Police, Security & Emergency Management is responsible for, and in agreement with the Senior Vice President of Channel Integration and ... in Texas. Incumbent will work closely with the Senior Vice President of Channel Integration and the...include the Texas Health Chief of Police, Director Security Programs , Director Security Systems & Technology, Director Security Clinics,… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Vice President , Medicaid Clinical Economics & Quality provides strategic and operational ... data science, and leadership capabilities to optimize medical cost management, drive program performance, and support compliant operations. This VP will partner… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The VP , Medicaid Regional President (CEO) for Indiana will be responsible for the overall ... strategic direction, oversight, and administration of programs and services for our Medicaid program ....Plans (DSNP), which serve members who qualify for both Medicare and Medicaid. They will lead the state Medicaid… more
- Commonwealth Care Alliance (Boston, MA)
- …("Director") sits within The Government Affairs team and reports to the Vice President of Government Affairs/CareSource. This position also supports the ... to further common policy priorities. + Collaborate with the Vice President , Government Affairs in...Medicare managed care and other public health care programs is required. + Experience developing written materials for… more
- Highmark Health (Montgomery, AL)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job supports the VP , Pharmacy in managing the overall Pharmacy program administration associated ... as necessary or contractually required. + Participate in product specific government meetings as necessary. + Coordinate implementation of clinical programs… 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 ... Medical Directors monthly meeting, and TruCare Insights/upgrade meetings. + Represents the Vice President and Senior Medical Director of Clinical Management at… more
- HCA Healthcare (Fort Lauderdale, FL)
- …development for serious quality or risk issues within the division as requested by Division Vice President and Group Vice President . Accesses company ... is responsible for leading a robust clinical quality, risk, government payor initiatives program , and performance improvement...Division personnel as appropriate and as directed by Division Vice President and Group Vice … more
- Elara Caring (Fort Worth, TX)
- …in program and services, develops proposals for consideration by Area Vice President or other supervisors, as appropriate. + Investigates complaints and ... resolution and correction of deficiencies, and reports results to the Area Vice President . **Compliance Responsibilities** : + Ensures all documentation is… more
- Penn Medicine (Philadelphia, PA)
- …coordinated public affairs strategy that aligns with organizational goals, including the Associate Vice President of Government and Community Relations and ... day. Are you living your life's work? + Entity: Corporate + Department: Government Relations + Location: 3535 Market Street + Hours: 8hr Days (Hybrid) **Summary**… more
- Elara Caring (San Antonio, TX)
- …in program and services, develops proposals for consideration by Area Vice President or other supervisors, as appropriate. + Investigates complaints and ... to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and changes. Identifies...correction of deficiencies, and reports results to the Area Vice President . What is Required? + 5+… more
- GRAIL (Washington, DC)
- …alliances that drive meaningful change in US health policy. Reporting to the Senior Vice President of Government Affairs and Alliance Development, this ... Deep familiarity with **healthcare coverage, reimbursement, and innovation policy** , including Medicare and other federal programs . + Established **network of… more