- Elevance Health (Indianapolis, IN)
- ** Medicaid Contract Implementation Management Director** **Location** : Indianapolis, IN **Hybrid 2:** This role requires associates to be in-office 3 ... employment, unless an accommodation is granted as required by law._ The ** Medicaid Contract Implementation Management Director** is responsible for… more
- Elevance Health (Indianapolis, IN)
- ** Medicaid Contract Implementation Management Manager** **Location** : Indianapolis, Indiana **Hybrid 1:** This role requires associates to be in-office ... employment, unless an accommodation is granted as required by law._ The ** Medicaid Contract Implementation Management Manager** is responsible for… more
- CareFirst (Baltimore, MD)
- …for directing all aspects related to the monitoring of performance under the Medicaid contract and regulatory requirements and the overall state of compliance ... compliance. Directs the activities related to the design, development, implementation and maintenance of compliance programs across all major...of at least 5 years Medicare Part C and/or Medicaid compliance experience. + 3 years Management … more
- Humana (Louisville, KY)
- …provides support to assigned health plan and/or specialty companies relative to Medicaid product implementation , operations, contract compliance, and federal ... Qualifications** + Bachelor's degree + 3 + years' experience with Medicaid /Medicare/Employer Group operations/Category Management /Supplier Management + 3… more
- NTT DATA North America (Albany, NY)
- …and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We ... adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Medicaid Solution Architect to join our team in Albany, New York (US-NY),… more
- Highmark Health (Pittsburgh, PA)
- …The incumbent develops the strategic direction and insurers it's execution for revenue management , federal and state regulatory and contract compliance, care ... the health plan. Collaborate on the development and oversee implementation and reporting of the annual short- and long-term...Degree in Government **EXPERIENCE** **Required** + 10 years of Medicaid Experience + 10 years in Management … more
- CVS Health (Chicago, IL)
- … Managed Care business segment environment with exposure to benefits and/or contract interpretation * Medicaid Regulatory Standards for Network Access, ... operational efficiency, and overall enhancing the provider experience. Drives the implementation of internal and external solutions to achieve provider satisfaction,… more
- Ascendis Pharma (Princeton, NJ)
- …wholesalers, and pharmacy benefit managers (PBMs). This role requires expertise in contract management and reimbursement dynamics, coupled with strong leadership ... provide input to department's overall yearly budget. Requirements Key Responsibilities: Contract Management : Develop, implement, and maintain robust processes… more
- AdventHealth (Maitland, FL)
- …well as, the building and maintenance of rates and terms into designated contract management systems for AdventHealth Florida Division and Ancillaries. Precision ... Demonstrates ability to build, maintain and test in complex contract management systems with a high degree...and coordinates with Payer to ensure timely execution of contract rate implementation . * Ensures hospital staff,… more
- Mount Sinai Health System (New York, NY)
- …are a plus. **Experience Requirements** + Minimum 3-5 years of experience in contract management , coding, and analysis in a healthcare setting. + Experience ... interpret complex contract terms and financial data. + Proficient in contract management systems, modeling software, and financial reporting tools. +… more