- Commonwealth Care Alliance (Boston, MA)
- …and drive both program -wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Stanford Health Care (Palo Alto, CA)
- …EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, ... but not limited to, HIPAA, Anti-Kickback Statute, EMTALA, the Stark Law, and Medicare and Medicaid program requirements. + Knowledge of general computer… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance ... the demonstrated ability to handle multiple projects. - Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- Lundbeck (Deerfield, IL)
- Senior Benefits and HR Systems Analyst Requisition ID: 6994 Location: Deerfield, IL, US Do you want to join a team where the mission is meaningful, the challenges ... programs and policies. Identifies and implements tools and resources for program administration with a focus on developing, standardizing, and improving processes,… more
- Novo Nordisk Inc. (Elmira, NY)
- …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Wipfli LLP (Milwaukee, WI)
- …offers a career-defining opportunity. Job Summary Under the direction of the Partner/ Senior Manager leading the respective service area, region or industry, ... the Manager , Provider Compliance & Reimbursement is responsible for preparing...preparing cost reports and providing reimbursement consulting within the Senior Living space. This role includes reviewing skilled nursing… more
- Commonwealth Care Alliance (Boston, MA)
- …engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing ... complex, cross-functional projects and meeting deadlines. + Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, ... performance. By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role… more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... improvements, and enhance provider satisfaction and performance. - Partner with senior leaders to communicate resolution and outcomes and drive cross-functional… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
