- Sumitomo Pharma (Bismarck, ND)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The ... Sr . Manager , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating,… more
- Elevance Health (Richmond, VA)
- Provider Network Management Sr ( Contract Negotiations) (JR128784) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of our ... being 1 day in an office per week. The **Provider Network Management Sr ** **(** Hospital Contracts) develops the provider network through contract negotiations,… more
- Elevance Health (Latham, NY)
- …Elevance Health PulsePoint location listed above. The **Provider Network Manager Sr ** will be responsible for developing the Medicaid provider network ... **Provider Network Manager Sr ** **Location:** Latham, NY; Middletown,...Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers.… more
- CVS Health (Oklahoma City, OK)
- …make health care more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies. . * Conducts research,… more
- Elevance Health (KS)
- **LTSS Network Education Representative Sr ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... Olathe, KS** Elevance Health PulsePoint locations. The **LTSS Network Education Rep Sr ** is responsible for enhancing and overseeing a comprehensive initial and… more
- CVS Health (Hartford, CT)
- …+ Medicaid Delegation + Delegation / capitation and associated contract and performance oversight + PMP Certification + Key concepts (high level) ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Exemption Status Exempt Department Finance Manager Title Accounting Supervisor - Ops Direct Reports n/a Requisition # 24549 Pay and ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- Elevance Health (FL)
- **Network Education** **Representative Sr .** **Location:** Tampa FL. or Miami, Fl. This is a hybrid role with 1 - 2 days per week required in-office. Selected ... + Provides/coordinates provider training for claims and billing procedures, contract compliance, medical management, and pharmacy issues. + Promotes provider… more
- Public Consulting Group (Augusta, ME)
- …facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... and exceeding performance expectations. + Facilitates client discussions and develops contract work plans, budgets, communication plans, and contract … more
- Elevance Health (St. Louis, MO)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** **Location:** This is a virtual position; US...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more