- Health Care Service Corporation (Nashville, TN)
- …experience + Health insurance or healthcare industry experience + Product Manager experience + Experience supervising project teams/personnel + Master's ... Summary** This role collaborates closely with cross-functional business stakeholders, project management, and technology partners to drive projects from business… more
- New York State Civil Service (Albany, NY)
- …of the Title Deputy Director of EISG: Position for Expr. IT Manager (6406) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative Support… more
- Point32Health (Canton, MA)
- …internal senior leaders and external stakeholders. + **Strategy Development and Project Management** : The Manager will support department leadership in ... Actuarial, Procurement, Provider Partnerships and Care Management / Clinical Affairs. The Manager will oversee the team's project management efforts including… more
- Molina Healthcare (OH)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
- Marshfield Clinic (Marshfield, WI)
- …missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin **Scheduled Weekly ... America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development, implementation and… more
- CVS Health (Hartford, CT)
- …more compassionate. And we do it all with heart, each and every day. The ** Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in ... accountability in all RFI-related activities. In addition to core responsibilities, the Senior RFI Analyst will support **Training** , **Quality** , and Program… more
- Molina Healthcare (Chicago, IL)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. **Position Summary** Support the Medicaid Pharmacy team, including forecasting, reporting and pharmacy analytics across all ... Medicaid states. Perform actuarial functions by applying expanded quantitative...and reasonability. Communicates clear written and oral results to mentor/ manager . Anticipates questions and formulate responses. + Utilizes advanced… more
- CVS Health (Blue Bell, PA)
- …the operational and financial performance evaluation across Aetna's Commercial and Medicaid Care Management programs to optimize the programs' performance, identify ... for building and maintaining staffing models that support the Commercial and Medicaid Care Management programs. Key responsibilities of this role include: + Build… more