- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Elevance Health (Roanoke, VA)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** _Location:_ This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Humana (Richmond, VA)
- …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