- Fallon Health (Buffalo, NY)
- …development and implementation of processes and workflows, network development, contract management, claims, billing, and authorization assistance. This position may ... Other Operations Responsibilities Acts as a resource to and supports PACE Senior Leadership Team in various program-wide projects and initiatives as needed and… more
- Sumitomo Pharma (Columbia, SC)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Sr . Manager , Medicaid Contract Administration. This position ... is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- CSL Behring (King Of Prussia, PA)
- The Sr . Manager , Pricing & Government Reporting will lead the Government price reporting processes including monthly/quarterly calculations of pricing to Veteran ... (VA), Public Health Services (PHS), and Centers for Medicare and Medicaid Services (CMS). Responsible for reconciling, preparing, and analyzing federal and… more
- Abbott (Livermore, CA)
- … Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems + Develops and participates in setting ... sales contracts and Medicaid enrollments + Negotiate and draft high-value complex contract terms and conditions in accordance with corporate policies + Acts as a… more
- University of Michigan (Ann Arbor, MI)
- Sr Bill Clk/Pat Acct Rep Hlth Apply Now **Job Summary** Why Join the Revenue Cycle Department, Billing & Third Party Collections Team? We are seeking a Senior ... through write-offs, refunds, and/or transfers based on payer guidelines and contract agreements. + Following compliance standards, investigate discrepancies and take… more
- Elevance Health (St. Louis, MO)
- **Legal Counsel Sr .** **_Location:_** _This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... granted as required by law_ . The **Legal Counsel Sr ** . will help support the provider solutions team...provider contracting staff with legal issues that arise during contract negotiations. + Review proposed contract language… more
- Elevance Health (Cincinnati, OH)
- Provider Success Consultant Sr . (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... minimum of 50% of the time. **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our...drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate… more
- COOLSOFT (Jackson, MS)
- …focused on Medicaid topics 6. Respond to questions from DOMs Senior Leadership on the applicability of cost allocation principles and federal administrative ... Medicaid Consultant (Jobs in Jackson, MS) Requirement id...Cost Allocation, Open Date 14-Jul-2025 Close Date Job type Contract Duration 36 Months Compensation DOE Status requirement Job… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a critical role in ... Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within ... This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and rebate agreements… more
