- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Medicaid Clinical Operations Intake Product Manager applies professional concepts, industry ... by precedent and professional standards with some interpretation. The Medicaid Clinical Operations Intake Product Manager 2 - leads all phases of the … more
- Abbott (Austin, TX)
- …more than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and ... managing clinical trial reimbursement processes to secure Medicare and private... investigative plan and payer policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement… more
- CVS Health (Columbus, OH)
- …the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid , OhioRISE will help struggling children and their families by focusing on the ... Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial,… more
- Waystar (Austin, TX)
- **ABOUT THIS POSITION** Waystar is seeking a Senior Product Manager to join the team. Reporting to the Vice President, Product Strategy, you will be ... and market research. + Partner with engineering, data science, product design, and clinical SMEs to deliver...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Mom's Meals (Ankeny, IA)
- …confidence in the quality of Mom's Meals services. Strong relationships with partners, product or project teams, clinical and operational teams and field-based ... customer care, intake, data analytics, IT, contracting, revenue cycle, compliance, product , business development, and clinical strategy teams where appropriate… more
- Point32Health (Canton, MA)
- …and reporting activities for risk adjustment programs and initiatives that impact Medicare, Medicaid , and Duals product members. This individual will lead the ... and recommend changes to improve program results and effectiveness. The Manager will collaborate with key internal stakeholders ( Clinical , Contracting,… more
- Fallon Health (Worcester, MA)
- …medication reconciliations + Performs Care Transitions Assessments - per Program and product line processes + Utilizing clinical judgment and nursing assessment ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Medtronic (Minneapolis, MN)
- … Manager to support global reimbursement strategy development, new business development, clinical trial and evidence planning, and product launch support for ... commercial coverage policies and Medicare payment regulations + Experience working with product development teams + Independently develop clinical and economical… more
- Intermountain Health (Las Vegas, NV)
- …Interviewing + Knowledge of government programs: Dual Special Need Program, Medicare or Medicaid knowledge + Health insurance product knowledge. + 3+ years of ... than 1 million members. Select Health's line of businesses include Medicare, Medicaid , FEHB, Marketplace Qualified Health Plans, and fully funded and self-funded… more
- CVS Health (Oklahoma City, OK)
- …CVS Aetna takes a team-based approach to providing outstanding patient care. Transitional Care Manager is an integral part of the team. The TCM is the primary member ... of the CVS Health clinical care team and facilitator of interdisciplinary collaboration and...meetings with CVS Health regional leaders, Program Director, Project Manager and other Transitional Care Managers on programmatic development… more
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