- Commonwealth Care Alliance (Boston, MA)
- …and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline ... provider matters. This position partners closely with provider engagement, delegation partnerships, provider services...teams to address provider needs and improve service delivery. - Lead or support … more
- Commonwealth Care Alliance (Boston, MA)
- …to incorporate CLAS (Culturally and Linguistically Appropriate Services ) standards into provider education and engagement activities. + Lead or support the ... three program consultants with future expansion. **Essential Duties & Responsibilities:** ** Provider Quality Performance and Value-Based Care** + Lead … more
- Commonwealth Care Alliance (Boston, MA)
- …executing communication strategies that foster strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This ... + Present reporting and trends to the committee + Develop and manage annual provider communications schedule + Provide guidance and oversight on provider … more
- Commonwealth Care Alliance (Boston, MA)
- …Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation presentations, and ... with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services , Provider Services , Regulatory Affairs, Marketing) to… more
- Commonwealth Care Alliance (Boston, MA)
- … provider orientations, and appreciation events. + Facilitate and lead orientation meetings and communication sessions with key providers; orient providers ... 3-5 years + Managed Care experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare/ Medicaid experience preferred. +… more
- Tidelands Health (Myrtle Beach, SC)
- …Tidelands and help people live better lives through better health!** **Supervisor Provider Coding Specialist** Are you passionate about quality and committed to ... Consider joining our Tidelands Health team. As our region's largest health care provider , we are also one of our area's largest employers. More than 2,500… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and internal customer alignment as necessary. The position is responsible for: Lead support for development of gross-to-net forecasts for Diabetes GLP-1 portfolio ... strong gross-to-net knowledge to support financial assessments across the organization Provide support for "special / innovative" Forecasting projects including but… more
- COOLSOFT (Raleigh, NC)
- …Medicaid Drug Rebate Program (MDRP) - Supports cross-functional activities that provide effective oversight of Medicaid Programs. - Collaborates and ... PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business… more
- NORC (Washington, DC)
- …Area Director for our Applied Health Care Economics team. The incumbent will lead evaluation and health services research projects requiring application of ... on research design, methodology, data analysis, and interpretation for Medicare and Medicaid demonstration evaluations and health services research. + Leading… more
- Eisai, Inc (Indianapolis, IN)
- …want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, including through ... reporting into the Eisai Access and Reimbursement team under Patient Services /Market Access. Working closely with and reporting to the Associate Director,… more
