- NTT DATA North America (Montgomery, AL)
- …and forward-thinking organization, apply now. We are currently seeking a PMO Medicaid Quality Manager to join our team in Montgomery, Alabama (US-AL), United ... United States (US). The PMO Quality Manager supports a Medicaid Modernization Program in Montgomery Alabama. This individual will...including risk and issue oversight. In addition, he/she will lead quality efforts within the PMO to keep operations… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …functions are assumed to be included in other related duties or assignments. + Lead the development and evaluation of pre and post-deal financial models, systems ... Senior Manager, Managed Care Payer Analytics, Regional & Medicaid (V&A) Date: May 6, 2025 Location: Parsippany,...Build dashboards, KPIs, and executive reports to support ongoing business reviews and account level strategy development … more
- Corewell Health (Grand Rapids, MI)
- Job Summary This position will lead the development and execution of our ACA and Medicaid member retention and education strategy and foster a best in class ... manage and execute, will set you apart from others. Essential Functions + Lead the development and implementation of sustainable marketing strategic plans and… more
- Zelis (Plano, TX)
- …Excel) + Interact with regulators and clients to determine and document business requirements. + Lead pricer maintenance, quality assurance activities, audits, ... personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer… more
- Highmark Health (Albany, NY)
- …Description :** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the ... requirements, overall profitability, member satisfaction and state regulator satisfaction. Lead efforts to capture plan performance, work with vendor partners… more
- Conduent (Denver, CO)
- …this role, you'll serve as the primary point of contact for the client, lead collaborative solution development , and oversee end-to-end service delivery. If you ... of Medicaid programs and enterprise-level data warehouse solutions + Lead cross-functional teams effectively across delivery, product, and operations + Navigate… more
- Molina Healthcare (Jackson, MS)
- **Job Description** **Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid , ... contractual and regulatory reporting requirements. * Serves as the Plan's lead for State healthcare program contractual and regulatory requirements, including… more
- Molina Healthcare (Seattle, WA)
- …Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. **PREFERRED EDUCATION:** Master's in Business Administration, ... clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates conformance… more
- NTT DATA North America (Santa Fe, NM)
- …legally-required benefits. **About NTT DATA Services** NTT DATA Services is a recognized leader in IT and business services, including cloud, data and ... forward-thinking organization, apply now. We are currently seeking a Medicaid Software Tester to join our team in Santa...Bachelor's degree with minimum 6 years of testing / business analyst experience OR minimum of 9 years experience… more
- Elevance Health (Chantilly, VA)
- RN Nurse Case Manager l - Medicaid (JR152160) **Location** : This role requires associates to be **in-office 4 days per week** , fostering collaboration and ... necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates rates of reimbursement, as… more