• Senior Manager , Provider Network…

    CVS Health (Richmond, VA)
    …affordable. Position SummaryIn this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
    CVS Health (05/24/24)
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  • Network Development and Contracting

    CVS Health (Phoenix, AZ)
    …Experience in Value Based Care financial models and value based care contracting /negotiations. + Experience in Medicaid Risk-based arrangements and Value-Based ... convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and… more
    CVS Health (05/25/24)
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  • Senior Project Manager ( Medicaid

    Humana (Columbus, OH)
    …us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is accountable for working with the ... with driving efficient management of end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions… more
    Humana (05/31/24)
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  • Sr. Manager , Medicaid Contract…

    Sumitomo Pharma (Columbus, OH)
    **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid more
    Sumitomo Pharma (05/09/24)
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  • Senior Manager , Network Management - Texas…

    CVS Health (Houston, TX)
    …Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
    CVS Health (04/24/24)
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  • Contract Negotiation Manager - Texas…

    CVS Health (Houston, TX)
    …be proficient in Word, Excel, and Microsoft Office. Preferred Qualifications + Medicaid contracting experience. + Strong critical thinking, problem resolution, ... health care more personal, convenient and affordable. In this Texas Medicaid individual contributor role the contract negotiator: + Negotiates competitive contracts… more
    CVS Health (04/24/24)
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  • Medicaid Network Relations Manager

    CVS Health (Princeton, NJ)
    …and enlist assistance in problem resolution. + Conduct standard provider recruitment, contracting , or re- contracting activities and assist with more complex ... with business segment specific policy, benefits, plan design and language + Medicaid Managed Care + Strong verbal and written communication, interpersonal, problem… more
    CVS Health (05/31/24)
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  • Senior Director Pricing, Contracting

    Helsinn Therapeutics (US), Inc. (Iselin, NJ)
    …Benefits Manager (PBM) and exposure to Trade, Retail, Federal and Medicaid contracting . + Experience in dealing with current Pharmaceutical and Healthcare ... Senior Director Pricing, Contracting & Value Strategies Operations Iselin, New Jersey...to AMP, ASP, Best Price, URA calculations, 340B, HCR, Medicaid and Reimbursement. + CORE COMPETENCIES: + Project Management:… more
    Helsinn Therapeutics (US), Inc. (05/07/24)
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  • Contracting Officer Representative

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Research ... CMMI's portfolio of research and evaluation contracts. Serve as a Contracting Officer Representative (COR) Level III on multimillion-dollar research and evaluation… more
    Centers for Medicare & Medicaid Services (05/30/24)
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  • Senior Payer Analyst / Managed Care…

    Hartford HealthCare (Wethersfield, CT)
    …common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling ... and protections to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
    Hartford HealthCare (05/09/24)
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