- Elevance Health (NC)
- _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... by law._ The **Program Consultant** is responsible for the development and ongoing management of one or more external...one or more external client facing programs within a business unit. Program consultants typically support business … more
- Humana (Olympia, WA)
- …pilots and POC for solution evaluations on the SaaS platform + Architecture development experience across Business , Application, Data and Technology domains + ... Application Architect designs and develops IT applications architecture solutions to business problems in alignment with the enterprise architecture direction and… more
- Dignity Health (Bakersfield, CA)
- …or network development teams - Bachelors degree in Healthcare Administration, Business , or a related field. - Deep knowledge of capitation models, value-based ... The Director of Provider Contracting is a key executive leader responsible for the strategic direction and operational execution...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to the General Manager of LMS, and is responsible for the establishment, development and execution of the payor, managed care, and payer contracting medical policy ... strategy to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision… more
- Humana (Frankfort, KY)
- …focused on development of learning experiences specifically for the Michigan Medicaid Care Management line of business including both clinical and ... non-clinical roles and will support the Learning Design Lead in design and development capacities. **Senior Learning Design Professional** The Senior Learning… more
- Waystar (Louisville, KY)
- …various product inputs, customer requirements, designing solution architectures and developing the business case for new product development + Preparing software ... Product Manager will coordinate with key stakeholders in sales, marketing, design, development , and operations. This role will be charged with leading game changing… more
- Des Moines University (Des Moines, IA)
- …for the Des Moines University Clinic and Wellness programs across multiple sites and business models. This is your opportunity to lead with purpose, inspire ... Work type: FT Location: Des Moines Categories: Administrators Are you a visionary leader with a passion for clinical excellence and innovation in patient care? Des… more
- Waystar (Lehi, UT)
- …various product inputs, customer requirements, designing solution architectures and developing the business case for new product development + Preparing software ... for building great products and the natural instincts for making decisions that lead to highly useable software. This professional self-starter will report to a… more
- Somatus (Mclean, VA)
- …CMS guidelines. This role provides guidance and oversight to all lines of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The ... (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development , CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates… more
- Prime Therapeutics (Montgomery, AL)
- …in healthcare, pharmacy benefit management (PBM), pharmaceutical sales, analytical contracting or business development ; also to include: 4 years Trade / Rebates, ... Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as manufacturer and GPO negotiation,… more