• Process Improvement Specialist

    Humana (Columbia, SC)
    …and Growth Professional II supports the development and execution of Medicaid care/service coordination strategy and growth activities by partnering closely with ... Clinical Strategy Lead and Senior Professionals. This role helps bring strategy to life...through internal approval processes, and help ensure alignment with contract requirements and the overall strategic vision. This professional… more
    Humana (06/12/25)
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  • Manager , Medical Economics

    CVS Health (Hartford, CT)
    …for supporting complex capitation analyses that support our strategic goals for Medicaid , Medicare and IFP, and working collaboratively with the Network to determine ... financial models and forecasts related to healthcare costs and utilization, for senior management review and presentation. + Projects future costs, estimates savings… more
    CVS Health (06/01/25)
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  • Jira Defect Mangement Communication Skills Analyst

    COOLSOFT (Raleigh, NC)
    …Job title Analyst Job location in Raleigh, NC Skills required Medicaid Experience, IT Systems Engineering, Microsoft Project, Jira Defect Mangement Communication ... Skil Open Date 04-Jun-2025 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement Job interview type Email Recruiter:coolsoft Job… more
    COOLSOFT (06/05/25)
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  • Provider Specialist Physician Office…

    Fallon Health (Worcester, MA)
    …on Provider enrollment initiatives. + Escalate critical issues and conflicts to Manager , Provider Data or Sr . Director, Benefit and Provider Configuration ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
    Fallon Health (05/03/25)
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  • Director, System Payer Contracting

    Albany Medical Center (Albany, NY)
    …the AMHS market. Leading and mentoring, negotiating, continuous monitoring of contract performance, and engaging with internal and external stakeholders to optimize ... with established and new payers including leading economic assessments and overseeing contract implementation aligned with contract terms. The Director is… more
    Albany Medical Center (04/16/25)
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  • Paralegal (Legal Assistant I) - Health Care, State…

    State of Colorado (Denver, CO)
    …is perfect for you. This position offers the opportunity to be mentored by Senior Paralegals and Attorneys to develop your skills in this role that combines ... to the Colorado Department of Health Care Policy and Financing (the State Medicaid agency) and the public health programs within the Colorado Department of Public… more
    State of Colorado (06/07/25)
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  • National Director Market Access and Payer Strategy

    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 ... policy initiatives in collaboration with BD's market access and payment policy senior leadership team reimbursement strategy to ensure optimal coverage and maximize… more
    BD (Becton, Dickinson and Company) (05/03/25)
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  • Director of Administration - NJ Institute…

    Rowan University (Stratford, NJ)
    …Director, NJISA Co-Director, Vice Chair of Clinical Operations, and Manager of Department Operations, provides organizational leadership and operational oversight ... Management Prepares, monitors, and revises budgets in collaboration with the Business Manager . Guides the Chief Financial Officer and Budget Office with shared input… more
    Rowan University (05/15/25)
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  • Discharge Planner - Crisis Stabilization Unit…

    Prime Healthcare (Chula Vista, CA)
    …Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and ... of the various activities of the CSU under the direction of the CSU Manager to assist with development and implementations of discharge plans. Assists with case… more
    Prime Healthcare (06/11/25)
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