- CVS Health (Columbus, OH)
- …every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health ... years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working knowledge of… more
- CVS Health (Chicago, IL)
- … growth, and efficiency targets. Manages and oversees compliance within our network responsibilities as provided within the state Medicaid contractual ... Relations or Network Strategy * Minimum 5+ years' experience in Medicaid Managed Care business segment environment with exposure to benefits and/or contract… more
- Humana (Little Rock, AR)
- …claims operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence Engineer will ... Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence Engineer will be… more
- The Salvation Army (Syracuse, NY)
- Overview Seeking a Senior Enhanced Care Manager to join our Divisional Headquarters Team Our Full Time opportunities offer: + Generous time off every year ... Program + Tax Deferred Annuity (403B) + Christmas Bonus SCOPE AND PURPOSE OF POSITION: Senior Enhanced Care Manager will serve as coordinator of the Care … more
- Leidos (Baltimore, MD)
- …missions. The Digital Modernization Sector at Leidos currently has an opening for a Senior ISSO/Security Manager to work in our Baltimore, Maryland office. This ... operate, maintain, modernize and transform its legacy system. **Primary Responsibilities:** The Senior ISSO/Security Manager for a large CRM modernization effort… more
- Providence (Santa Monica, CA)
- **Description** Senior Contract Sourcing Program Manager at Providence Saint John's Health Center in Santa Monica, CA. This position is Full time and will work ... rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Purchased Services and Physician Contracting provides contract negotiation… more
- CVS Health (Trenton, NJ)
- …controls through collaborating with cross-functional teams. This position will support network across all lines of business. + Understanding business operations to ... Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to… more
- New York State Civil Service (Albany, NY)
- …of the Title Deputy Director of EISG: Position for Expr. IT Manager (6406) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative Support… more
- CenterWell (Phoenix, AZ)
- …relationship with specialist, hospitalist, SNF and other providers to form a narrow network of quality service focused on senior population health + Responsible ... and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five...insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... and drive both program-wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and… more
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