- Molina Healthcare (Boise, ID)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: Value Based… more
- Molina Healthcare (San Diego, CA)
- …Quality performance through provider engagement or practice transformation for Medicaid, Medicare , and/or ACA Marketplace programs To all current Molina employees: ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist ( Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled ... works closely with the Pharmacy Director, Clinical Pharmacy Specialist, and Operations Manager to provide consistent and accurate pharmacy benefit administration… more
- MetroLink (Los Angeles, CA)
- Senior Manager , Planning & Development Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5117190) Apply Senior Manager , Planning & Development ... Location California 90017, CA Job Type At Will Full Time Remote Employment Flexible/Hybrid Job Number 23-2400193 Department Strategy Division Strategy Opening… more
- MetroLink (Los Angeles, CA)
- Senior Railroad Civil Engineer (Project Manager ) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5143076) Apply Senior Railroad Civil Engineer ... (Project Manager ) Salary $102,793.00 - $159,329.00 Annually Location California 91767,...California 91767, CA Job Type At Will Full Time Remote Employment Flexible/Hybrid Job Number 23-24000197 Department Program Management… more
- Actalent (Sacramento, CA)
- Remote Licensed Vocational Nurse (LVN) Fully remote but MUST reside within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for ... Medicare inpatient admissions, continued stays, and discharges + Apply...EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background… more
- Humana (Trenton, NJ)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of the market they… more
- Molina Healthcare (Long Beach, CA)
- …ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are...be discussed during our interview process. CA located - Remote position Work hours: Monday - Friday 8:00am -… more
- Merck (Boise, ID)
- …information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including ... **Job Description** Field Access Manager The Field Access Manager (FAM)...compliance with healthcare regulations. The FAM role is a remote /field-based role that proactively provides approved education to defined… more
- NTT DATA North America (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ** ... Medicare Appeals Clinical Leader** to lead service delivery engagements...delivery of services. This position is eligible for company benefits including medical, dental, and vision insurance with an… more