- Centene Corporation (Austin, TX)
- …VBC contract management. + Monitors VBC performance under risk arrangements for Medicaid and Medicare product lines. + Performs data analysis and develops specific ... experience in Network Development, Provider Relations or Value-based / Risk Contracting **Candidate Experience:** Required 5+ years of experience in the healthcare… more
- Elevance Health (Nashville, TN)
- …Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services ... to Medicaid plans in partnership with blue cross blue shield...transformation through strategic leadership over all provider engagement and contracting activity in the Tennessee market. The RVP of… more
- Centene Corporation (Austin, TX)
- …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… more
- Walmart (Bentonville, AR)
- …healthcare operations? Lead and transform our enrollment processes! As Senior Manager , you'll ensure seamless onboarding for providers, optimizing our network and ... pharmacy clinical expansion + Lead and oversee pharmacist provider enrollment in Medicaid and Medicare with growth of expanded clinical services and recognition of… more
- Abbott (Livermore, CA)
- …are profitable for the organization. This includes the development of public sector contracting efforts (ie Medicare and Medicaid ), and the management of the ... people to restore their health and get on with their lives. As the Manager , Provider Relations, you'll have the chance to lead the strategic implementation of… more
- Abbott (Alameda, CA)
- …and professionals measure, track and analyze glucose levels. As a **Senior Manager , Strategic Pricing,** you will be responsible for developing and implementing ... strategies across all ADC brands and customer channels, including Managed Care, Medicaid , Medicare, Retail, and Point of Care (POC). The position supports the… more
- CVS Health (Harrisburg, PA)
- …for supporting complex Capitation analyses that support our strategic goals for Medicaid , Medicare, IFP and commercial, and working collaboratively with the Network ... and tracking results + Expertise in multiple areas of provider contracting /reimbursement, analysis, modeling & reporting; Extensive & diverse knowledge of healthcare… more
- Centene Corporation (Montgomery, AL)
- …field preferred. Minimum 3+ years experience in provider relations, provider contracting ; health plan operations or health care/medical office environment. Knowledge ... of health care, managed care, Medicare, Medicaid or commercial insurance products. Prior experience with data systems and Microsoft Office applications preferred.… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …of Payor Strategy and Market Access and Payer Strategy, reports 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 initiatives in collaboration with BD's market...to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have… more
- Penn Medicine (Plainsboro, NJ)
- …**Summary** : + Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, ... Medicaid and Medicare cases across programs to facilitate patient...procedures for use across continuum. + Perform independently with contracting department notifications to coordinate proper contractual information is… more
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