- CVS Health (Annapolis, MD)
- …with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory ... and compliance monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal regulations, contractual… more
- Elevance Health (Dearborn, MI)
- ** Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and formulary management. **How you will make an impact:** + Leads Medicaid formulary management processes. + Responsible for all member, stakeholder, and provider… more
- Elevance Health (Mason, OH)
- …**Position Responsibilities** + Complete pharmacy trend and rebate analytics for Medicaid , Medicare and/or Commercial and improve reporting and linkage to ... experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience strongly… more
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