• Novo Nordisk Inc. (Plainsboro, NJ)
    …evolve, so does our challenge to find better and more innovative ways to improve their quality of life. We're changing lives for a living. Are you ready to make a ... directors as well as cross functional partners. Relationships Reports to the Senior Director of HEOR Evidence Strategy and Synthesis within the Clinical Data Science… more
    HireLifeScience (11/02/24)
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  • Medicaid Quality Management

    Elevance Health (Buffalo, NY)
    ** Medicaid Quality Management Director ** Location: This position will work a hybrid model (remote and office). The candidate must live within 50 miles of ... the development, coordination, communication, and implementation of a strategic clinical quality management and improvement program within assigned health plan.… more
    Elevance Health (10/25/24)
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  • Director , Medicaid Insurance…

    Humana (Boston, MA)
    …capable of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & ... healthcare company committed to improving the health of the communities it serves. Medicaid Insurance Product Management - Growth & Innovation team's purpose is… more
    Humana (11/06/24)
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  • Lead Director , Network Management

    CVS Health (Raleigh, NC)
    …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid /North Carolina is accountable ... for designing conceptual models, initiative planning, and negotiating Medicaid value based agreements with North Carolina providers, including health systems,… more
    CVS Health (11/02/24)
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  • Lead Director , CFO Florida Medicaid

    CVS Health (Tallahassee, FL)
    …to make health care more personal, convenient and affordable. **Position Summary** The Lead Director , CFO Florida Medicaid Market role will function as the CFO ... for the Florida Medicaid Health Plan and will lead the respective markets'... Agency. + Leverage prior experience to ensure the quality and integrity of P&L/cost center owner level reporting,… more
    CVS Health (10/29/24)
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  • Medical Director - Behavioral Health…

    CVS Health (Austin, TX)
    …Medical Leadership, Pharmacy Director , clinical staff (including those in utilization management , care management , quality management ), and ... agencies, providers, and key community partners to oversee the quality of the ABHT BH program and the implementation...management performance and coordination with physical health care management . - Participation in HHS medical director more
    CVS Health (08/27/24)
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  • Medical Director - Behavioral Health…

    CVS Health (Baton Rouge, LA)
    …Medical Leadership, Pharmacy Director , clinical staff (including those in utilization management , care management , quality management ), and ... of Louisiana is seeking a dedicated and experienced Behavioral Health Medical Director . The ideal candidate will be a board-certified psychiatrist with a current,… more
    CVS Health (09/10/24)
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  • Medicaid Redesign Analyst 2 (NY Helps)

    New York State Civil Service (Albany, NY)
    …beneficial. Duties Description The Medicaid Redesign Analyst 2 will report to the Director of the Quality Oversight Unit within the Office of Health Services ... with stakeholders, documentation and implementation of program policies and procedures, project management , data management , and quality assurance. More… more
    New York State Civil Service (11/01/24)
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  • Managing Consultant - Actuarial Consulting,…

    Guidehouse (Atlanta, GA)
    …make informed decisions that directly support the Triple Aim of healthcare, ensuring Medicaid beneficiaries can receive high quality care wherever they live, ... of the designated project team and support the day-to-day management of the client relationship. You are expected to...minimizing state expenses. As an actuarial consultant focusing on Medicaid programs, you will ensure quality deliverables… more
    Guidehouse (11/13/24)
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  • Director , Quality Management

    LifePoint Health (Brentwood, TN)
    * Director , Quality Management (PRN)* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our ... employees find purpose and fulfillment. *What you'll do:* As a* Director , Quality Management (PRN)*, you...regulatory requirements defined by the state, CMS (Center for Medicare/ Medicaid Services ) and other organizations. * Content expert… more
    LifePoint Health (11/01/24)
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