- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager, Network Management:** * Negotiates, executes, conducts high level review and ... * Highly organized and self-driven. **Preferred Qualifications** * Knowledge of Medicare and commercial programs and related subject matter. **Education** Bachelor's… more
- Amgen (IL)
- …Join us and transform the lives of patients while transforming your career. ** Senior Counsel - Global Commercial Operations** **What you will do** Let's do this. ... and advisory opinions + DOJ settlements with pharmaceutical industry + Medicare /Medicaid reimbursement and contracting + Proven superior legal skills, including… more
- The Cigna Group (Bloomington, MN)
- The job profile for this position is Software Engineering Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. ... years of software development experience. Must have experience within the Medicare /Medicaid domain. Experience must include Cobol, Job Control Language (JCL), DB2,… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The remote Senior Coder acts as a lead coder for their designated team. This position will train staff on department policies, procedures, ... Management Association,) NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics. 1.4… more
- Ascendis Pharma (Princeton, NJ)
- …develop their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the ... BPO service providers. + Familiarity with government pricing implications (Medicaid, 340B, Medicare Part D) is a plus. + Excellent project management, analytical,… more
- US Tech Solutions (Malden, MA)
- …the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects of member care ... required. Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid managed care preferred. Proficient in computer use, the… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of ... have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have… more
- Ascension Health (Pensacola, FL)
- …substance oversight, and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. + Serve as a resource for automation technology, ... and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything… more
- WellSpan Health (York, PA)
- …marketing and communications efforts. We are looking for a dynamic and experienced Senior Vice President & Chief Marketing and Communications Officer to lead our ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible… more