• Sr. Manager , Medicaid Contract…

    Sumitomo Pharma (Raleigh, NC)
    …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...+ Interact with internal departments (Internal Audit, Commercial Insights, Contracting , SOX Compliance, and Legal) to clarify policy compliance… more
    Sumitomo Pharma (07/09/25)
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  • Senior Manager , Network Management,…

    CVS Health (Raleigh, NC)
    …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables in this role include: *… more
    CVS Health (07/19/25)
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  • Program Manager -Children and Family…

    Elevance Health (Durham, NC)
    **Program Manager -Children and Family Specialty Plan Network** _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed ... unless an accommodation is granted as required by law._ The **Program Manager - CFSP Network** is responsible for spearheading initiatives with specialty providers… more
    Elevance Health (07/23/25)
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  • Behavioral Health Provider Contract Negotiation…

    CVS Health (Raleigh, NC)
    …with heart, each and every day. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage dispute ... skills. + Proven working knowledge of competitor strategies, complex contracting options, financial/ contracting arrangements, and regulatory requirements. +… more
    CVS Health (07/23/25)
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  • Specialty Provider Liaison- Children and Families…

    Elevance Health (Concord, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... working with providers and internal teams to ensure timely provider contracting , education on specialty topics, developing value-based payment strategies, and… more
    Elevance Health (07/22/25)
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