- CVS Health (MD)
- …complex contracting options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland ... cost initiatives. **Responsibilities** **include:** + Analyzes market needs and opportunities for network expansion, identifies gaps in the existing network , and… more
- CVS Health (TX)
- …And we do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, ... cost initiatives. * Recruit providers as needed to ensure attainment of network expansion goals, achieve regulatory and/or internal adequacy targets. * Support… more
- Elevance Health (Las Vegas, NV)
- **Be Part of an Extraordinary Team** ** Senior Provider Network Manager ** **Location:** NV-LAS VEGAS, 9133 W RUSSELL RD **Hybrid** : **This role requires ... an accommodation is granted as required by law._ The ** Senior P** **rovider Network Manager **...using actuarial models strongly preferred. + Experience with Nevada Medicaid preferred. For candidates working in person or virtually… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Network Engineer, Senior - Local Hybrid/Remote within MCHS locations **Cost ... considered but would need to relocate to Wisconsin.** The Network Engineer Senior is responsible for leading...participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must… more
- Elevance Health (Mason, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare ... **Shift & Hours:** Monday-Friday, 8:00 AM - 5:00 PM Eastern Time The ** Network Relations Consultant Senior ** (Value-Based Program Specialist) is responsible for… more
- Constructive Partnerships Unlimited (Queens, NY)
- …March 31, 2027 Position Summary: Constructive Partnerships Unlimited seeks an experienced Senior Social Care Navigator to connect vulnerable Medicaid populations ... Senior Social Care Navigator Type of Position Full... Social Care Navigator will also support the Program Manager with team training, mentoring, and executing special projects,… more
- CVS Health (IL)
- …implement the Quality and Practice Transformation strategies for the IL provider network with a focus on alignment of practice operations and capabilities supporting ... Medicaid member needs. This leader will focus on implementation of clinical best practices to improve provider practice performance, and optimize health outcomes and… more
- Bluestone Physician Services (Stillwater, MN)
- …focus and core values. + Proven ability to build and maintain a strong network of trusted relationships with stakeholders at all levels. + Experience working with ... + Understanding of compliance and marketing and Centers for Medicare & Medicaid Services (CMS) industry regulations. Bluestone Benefits : + Health Insurance +… more
- NJ Sharing Network (New Providence, NJ)
- …plans to improve performance and outcome measures. Partners with NJ Sharing Network departments to improve all aspects of the donation process. Utilizes skills ... and weekend work is required. Responsible for timely compliance with all Network programs and policies. Duties and Responsibilities Essential Functions: + Identifies… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Senior Market Development Professional will be instrumental in driving the Midwest Region's product ... key, as well as, partnering effectively with stakeholders across Humana. The Senior Market Development Professional will be instrumental in driving the Midwest… more