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Medicaid Medical Director Jobs

Medicare And Managed Medicaid Sales Director Remote
By Prime Therapeutics At , Remote $106,800 - $170,600 a year
Experience in Pharmacy Benefit Management and/or Health Insurance
Exceptional organizational, project management and time management skills
8 years of experience in business development, business to business sales or sales support
Exceptional communication and relationship development skills both internally and externally
Excellent business development acumen, critical thinking and customer orientation skills
Conduct ongoing business development activities to build a pipeline of prospective sales within existing and in new sales channels
Associate Director, Medicaid Provider Training & Education
By Humana At Tampa, FL, United States
Three (3) or more years of leadership experience leading a team of direct reports.
Proven interpersonal, organizational, written, and oral communication and presentation skills.
Experience operating in a matrixed environment and coordinating across various departments.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Understanding of learning design principles and proven application of those principles to create easy-to-read and captivating provider training and educational materials.
Experience with establishing a new team and/or new processes.
Medicaid Utilization Analyst 9-12 - Bphasa Medical Equipment & Services Section
By State of Michigan At , Lansing, Mi Up to $200,000 a year
Alternative and Remote Work Schedules:
A secure work location that allows privacy and prevents distractions.
A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
Suitable lighting, furniture, and utilities.
Medicaid Utilization Analyst 9 to P11
This posting is being used to fill 4 vacancies.
Lead Director, Network Provider Relations (Medicaid) (Remote Il Based)
By CVS Health At , , Il $100,000 - $227,000 a year
Assist and develop Network Action Plans to ensure Network Compliance with any and/all State Network Compliance requirements
Manages Local Provider Engagement Team to Deploy National Engagement Model
Manages Local Provider Relations staff to ensure Market Leading Provider Satisfaction
Oversees the monitoring of executed provider contracts to ensure Network Access meets State requirements.
Excellent interpersonal skills and the ability to work with others at all levels
Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards
Senior Director, Account Management- Medicaid Claims
By Conduent At United States
Demonstrate knowledge of cost analysis and profit/loss management
Delivering focused Account Management discipline to support our internal and external clients
Achieving Account Managers revenue objectives
Have a successful background managing client-facing Account Managers in the Government market
Possess a minimum 5 years of Medicaid services experience
Have current experience with Medicaid Claims services
Medicaid Medical Director Jobs
By South Dakota State Government At , , Sd $317,794 - $353,102 a year
Strong leadership and management experience;
Project management skills including managing multiple projects;
project management skills including managing multiple projects;
Serve as a focal point for quality, clinical, and survey and certification policies for South Dakota Medicaid’s healthcare delivery models.
Manage utilization and review programs including:
Excellent communication and interpersonal skills;