• Director , Medicaid Insurance…

    Humana (Richmond, VA)
    …frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & Innovation** will ... company committed to improving the health of the communities it serves. Medicaid Insurance Product Management - Growth & Innovation team's purpose is to… more
    Humana (11/06/24)
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  • Clinical Program Development Director

    Prime Therapeutics (Richmond, VA)
    …Clinical Program Development Director contributes to the development of drug management strategy for the designated clinical product domain (ie Utilization ... and clients within designated clinical product domain; may oversee clinical product management processes to ensure compliance with client delegation or… more
    Prime Therapeutics (11/01/24)
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  • Business Change Director (Quality Control…

    Elevance Health (Norfolk, VA)
    **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that… more
    Elevance Health (10/04/24)
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  • Director , Specialty Clinical Solutions-…

    Prime Therapeutics (Richmond, VA)
    …passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** ... Medical Pharmacy Strategy. **Job Description** + Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of… more
    Prime Therapeutics (08/20/24)
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  • Department Manager - Federal-State Partnerships

    The MITRE Corporation (Mclean, VA)
    …expertise in Medicaid and/or the private insurance markets . Financial management + Manage the D epartment budget in compliance with policies to support ... key components of MITRE's portfolio with the Centers for Medicare & Medicaid Services (CMS), including the Center for Consumer Information and Insurance Oversight… more
    The MITRE Corporation (11/06/24)
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  • Client Success Lead (Consultant) - Northwest…

    Public Consulting Group (Richmond, VA)
    …the important points of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly ... to efficiently and effectively implement, support, and optimize clients.Collaborate with Product to identify system improvements and opportunities for automation +… more
    Public Consulting Group (10/02/24)
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  • Client Success Partner (Client Service Associate…

    Public Consulting Group (Richmond, VA)
    …must effectively integrate capabilities in client management and project management , collaborating with Operations, Product , Program Integrity, and other ... support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the… more
    Public Consulting Group (10/08/24)
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  • Compliance Principal - Remote

    Prime Therapeutics (Richmond, VA)
    …within strict timelines, under pressure. + Working knowledge of Medicare Part D, Medicaid , state healthcare product or program related regulations and/or Health ... and leadership expectations. + Serves as a consultant to management on major matters pertaining to laws and regulations,...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
    Prime Therapeutics (10/11/24)
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  • Sales Manager - Hire Ahead

    Brookdale Senior Living (Danville, VA)
    …Medicare and Medicaid regulations to include applicable processes for the product line(s) being sold. Knowledge of state regulations impacting or directing the ... the prospect, his/her physician and family prior to the move in. + Keeps management and other key associates abreast of the status of all prospective move-ins.… more
    Brookdale Senior Living (10/29/24)
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