- Highmark Health (Charleston, WV)
- …Description :** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from ... The incumbent will collaborate with the organization's government markets and Medicaid leadership committees to coordinate the implementation of new programs and… more
- Molina Healthcare (Bellevue, WA)
- …in the claim payment system. * Directs the development and implementation of contract and benefit configuration as well as fee schedules. * Directs the ... Experience:** 10+ years Configuration experience (claims, benefits, fee schedules). + ** Medicaid ** + **QNXT** + **NetworX Pricer** To all current Molina employees:… more
- UPMC (Pittsburgh, PA)
- …and ensure that established targets are met. The Program Manager will report to the Director , Medicaid Product Planning and be recognized in a lead role by other ... The Program Manager, Medicaid Product Planning, will develop, implement, and oversee...established programs based on business needs. + Assist with contract development, review, oversight, and monitoring related to product… more
- Takeda Pharmaceuticals (Boston, MA)
- …inquiries from customers and field account managers regarding Market Access and Medicaid contract program specifics and performance details. + Actively ... best of my knowledge. **Job Description** **About the Role:** The Head of Contract Management ( Director Level) is a highly experience professional responsible… more
- City of New York (New York, NY)
- …(HASA) is recruiting for one (1) Admin Staff Analyst NMI to function as Director of Contract Management, who will: - Be responsible for supervising the ... assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides...and site audit results to be presented to the Contract Services Director for submission to the… more
- AbbVie (Mettawa, IL)
- …and we'd love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the Market Analytics and ... reports to ensure timely and accurate responses to Payer contract bids/ RFPs. + Conduct pre and post-deal analytics...channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels + Develop new and… more
- Ascendis Pharma (Princeton, NJ)
- … Director , Pricing & Contracting Strategy. Key Responsibilities: + Contract Management: Maintain robust processes and systems for managing contracts throughout ... skills. Ascendis Pharma is looking to hire an Associate Director , Pricing & Contracting to join our team. Responsibilities...and used to inform leadership of trend changes. Support Medicaid rebating activities, including evaluation of contract … more
- Humana (Springfield, IL)
- …skills, and a strategic mindset. This position is dedicated to the Illinois Medicaid plan. The Director of Provider Services responsibilities include: + Set ... health first** Humana Gold Plus Integrated is seeking a Director of Provider Services to lead a team that...leader is responsible for ensuring collaboration across Medicare and Medicaid lines of business and will oversee a team… more
- Humana (Louisville, KY)
- …our caring community and help us put health first** The Associate Director , Utilization Management utilizes clinical nursing skills to support the coordination, ... of medical services and/or benefit administration determinations. The Associate Director , Utilization Management Nursing requires a solid understanding of how… more
- CVS Health (Tallahassee, FL)
- …requirements and regulatory relationship. This colleague will also develop adequate expertise in the Medicaid contract to be back-up for the primary Medicaid ... and works at the direction of the health plan's Director , Contract Management. **Job Duties:** + Oversees...60 days of hire. Demonstrates adequate knowledge of the Medicaid contract within 4 months. + Provides… more