- Humana (Springfield, IL)
- …and help us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is accountable for ... end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting technical and operational… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer ... use. The Senior Product Manager work assignments involve moderately...an impact** **Required Qualifications** + Our Department of Defense contract requires US Citizenship + Successfully receive interim approval… more
- Prime Therapeutics (Springfield, IL)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- CVS Health (Buffalo Grove, IL)
- …network teams in provider negotiations and financial risk for Commercial, Medicare, Medicaid , and IFP businesses. + Work directly with network, provides current and ... Information Center), pModel, SAI Database, QAT, COIN. + Evaluate contract deviations and contract outliers, drive for improvement in costs to better position… more
- CenterWell (Springfield, IL)
- …responsible for reporting, implementation, and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work ... situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs… more
- AbbVie (Mettawa, IL)
- …manage over $10Bn in Gross to Net Rebate processing. The Market Access Contracting Manager is responsible for the operational support associated with one of the Big ... Three Pharmaceutical Benefits Manager Agreements. Primary responsibilities include supporting the strategic objectives of the Market Access organization by… more
- Molina Healthcare (Joliet, IL)
- …healthcare administration. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on… more
- Humana (Springfield, IL)
- …and Growth Professional II supports the development and execution of Medicaid care/service coordination strategy and growth activities by partnering closely with ... Clinical Strategy Lead and Senior Professionals. This role helps bring strategy to life...through internal approval processes, and help ensure alignment with contract requirements and the overall strategic vision. This professional… more
- CVS Health (Chicago, IL)
- …for supporting complex capitation analyses that support our strategic goals for Medicaid , Medicare and IFP, and working collaboratively with the Network to determine ... financial models and forecasts related to healthcare costs and utilization, for senior management review and presentation. + Projects future costs, estimates savings… more
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