- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Senior Product Owner ( Medicaid ) is responsible for conveying product vision and roadmap ... requires an in-depth evaluation of variable factors. The Senior Product Owner ( Medicaid ) maximizes the value of...by Agile team. + Liaises with stakeholders and the development team ensuring the right product is… more
- Molina Healthcare (Layton, UT)
- …and Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with ... Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in home care and Long-term care ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company...Keeps an open line of communication with the Site Development business unit. This includes making management aware of… more
- Deloitte (Tempe, AZ)
- …and/or health plan/insurance company experience + 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate ... do + Provide strategic and technical consulting services + Support business development efforts for Federal and State governments, employer groups, and other public… more
- Amazon (Boston, MA)
- …- 10+ yrs overall experience preferably in PBM, health insurance, pharmacy, business development , marketing, managed care, Medicaid , Medicare Part D, and ... talented, and experienced to play a critical role in B2B Business Development working with large Healthcare organizations. This position will focus on managing… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... Product team to further the company's goals by researching,...rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge… more
- CVS Health (Nashville, TN)
- …improvement, ensuring norms, and best practices are benchmarked. + Ensuring multi-state Medicare / Medicaid alignment with key leadership and state agencies to ... in new and exciting ways every day. Aetna is recruiting for a VP, Medicare Territory Leader who will have overall accountability for the territory P&L and general… more
- Molina Healthcare (Phoenix, AZ)
- …annually or as directed by the Center for Medicare and Medicaid . + Responsible for development , implementation, and maintenance of department strategic ... benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and...updates annually or as directed by the Centers for Medicare and Medicaid Services. + Establishes non-contracted… more
- Molina Healthcare (Grand Island, NE)
- …interaction experience + Experience working with complex, often highly technical teams + Medicaid primary and Medicare preferable payer claims experience + QNXT ... Actively participates in all stages of project and **program oversight** development including research, design, programming, testing and implementation to ensures… more
- Centene Corporation (Tallahassee, FL)
- …managed care experience preferred. Dental Vendor Management or Dental Product Development experience highly desired. **License/Certification:** Project ... program updates and facilitate cross functional executive level discussion. + End-to-end development , filing and execution of the Medicare Supplemental dental,… more