- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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