- Elevance Health (Las Vegas, NV)
- …Vegas.** **HOURS** **: General business hours, Monday through Friday.** The Medicaid Contract /Implementation Management Manager ( Medicaid Contr/Implmnt Mgmt ... Mgr) is an individual contributor role responsible for guiding Medicaid State/Alliance objectives established by Health Plan leadership to meet business unit goals.… more
- MyFlorida (Tallahassee, FL)
- …Florida Medicaid program. * Prepare presentations materials, as assigned. Contract Management The incumbent shall: * Perform contract management activities ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- MyFlorida (Tallahassee, FL)
- …or without accommodations MINIMUM QUALIFICATIONS REQUIREMENTS *At least two (2) years of Medicaid or Medicare Contract Management experience. *At least one (2) ... entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000...of Plan Management Operations. This position serves as a contract manager and lead point of contact for their… more
- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... transparent, and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access to health… more
- Mount Sinai Health System (New York, NY)
- …and professional claims processes to identify gaps and discrepancies, ensuring compliance with contract agreements. 4. Contract Term Enforcement : * Analyze ... Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage… more
- Walworth County (Elkhorn, WI)
- …plan and that the documentation is complete in compliance with all Medicaid , state and program requirements. Communicate to division leadership, and when indicated, ... key contract /fiscal staff members all incidents of provider non-compliance. Assist...provide needed services, safety precautions and interventions for their resolution . Develop and maintain an active crisis plan in… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …insurance companies, Social Security Administration and Centers for Medicare and Medicaid Services (CMS). **QUALIFICATIONS** **Education** + High School Diploma or ... + Familiarity with medical and health insurance terminology preferred + Conflict resolution skills and remains calm under pressure/stressful situations + Must be… more
- Amgen (IL)
- …environment. + Overseeing pricing agreement interpretation and contract enforcement , advising and managing commercial dispute resolution + Supporting ... strategic pricing of Amgen products + Reviewing and counseling on government enforcement actions relating to the promotion of biopharmaceutical products + Advising… more