- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for working with our strategic provider partners to… more
- Abbott (Austin, TX)
- …more than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and ... managing clinical trial reimbursement processes to secure Medicare and private... investigative plan and payer policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement… more
- Waystar (Austin, TX)
- **ABOUT THIS POSITION** Waystar is seeking a Senior Product Manager to join the team. Reporting to the Vice President, Product Strategy, you will be ... and market research. + Partner with engineering, data science, product design, and clinical SMEs to deliver...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- COOLSOFT (Raleigh, NC)
- …strategic alternatives for business solutions. * Preferred to have experience with Medicaid , managed care, and Pharmacy Benefit Manager (PBM) operations. areas. ... Business Analysis Product Management Excellent Communication Skills HIPPA Speciali Requirement...Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space.… more
- UPMC (Pittsburgh, PA)
- …+ The Product Development Pharmacist is responsible for: Assisting with clinical management of the designated line of business (Commercial, Exchange, Medicare, ... Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This...have completed several stretch projects as outlined by their manager . The stretch projects, in addition to all new… more
- Mom's Meals (Ankeny, IA)
- …confidence in the quality of Mom's Meals services. Strong relationships with partners, product or project teams, clinical and operational teams and field-based ... customer care, intake, data analytics, IT, contracting, revenue cycle, compliance, product , business development, and clinical strategy teams where appropriate… more
- Point32Health (Canton, MA)
- …and reporting activities for risk adjustment programs and initiatives that impact Medicare, Medicaid , and Duals product members. This individual will lead the ... and recommend changes to improve program results and effectiveness. The Manager will collaborate with key internal stakeholders ( Clinical , Contracting,… more
- Fallon Health (Worcester, MA)
- …medication reconciliations + Performs Care Transitions Assessments - per Program and product line processes + Utilizing clinical judgment and nursing assessment ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Medtronic (Minneapolis, MN)
- … Manager to support global reimbursement strategy development, new business development, clinical trial and evidence planning, and product launch support for ... commercial coverage policies and Medicare payment regulations + Experience working with product development teams + Independently develop clinical and economical… more
- Intermountain Health (Las Vegas, NV)
- …Interviewing + Knowledge of government programs: Dual Special Need Program, Medicare or Medicaid knowledge + Health insurance product knowledge. + 3+ years of ... than 1 million members. Select Health's line of businesses include Medicare, Medicaid , FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded… more