Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Provider Contracting Director (Medicare & Medicaid)

Humana

New York, NY
  • Remote job

Humana is seeking a Director of Provider Contracting to initiate, negotiate, and execute provider contracts across the state, including Medicare Advantage and Medicaid products. You will analyze financial impact, lead a contracting team, and drive strategic programs with travel within the region as needed. The role requires extensive provider contracting experience, strong leadership, and deep knowledge of reimbursement methodologies. #J-18808-Ljbffr Humana

Vacancy posted 20 hours ago
Similar jobs that could be interesting for youBased on the Remote Provider Contracting Director (Medicare & Medicaid) in New York, NY vacancy
  • ***Remote and must live in or be willing to travel to Washington***JOB DESCRIPTIONJob...  ...and leadership for health plan provider network complex contracting activities. Supports network...  ...methodologies, primarily across Medicaid and Medicare lines of business, including but not... 
    Remote work
    Contract work
    Live in
    Work at office

    Molina Healthcare

    Bothell, WA
    1 day ago
  •  ...Gainwell Technologies is seeking a Provider Enrollment Specialist to support Nevada Medicaid enrollment remotely. The role involves reviewing enrollment, revalidation, and documentation, with outreach to providers to ensure complete submissions and timely approvals.... 
    Remote work

    Gainwell Technologies

    Nevada, IA
    5 days ago
  • $48.3k - $69k

    Gainwell Technologies is hiring a Provider Publications / Communications Lead to manage provider-facing communications supporting Medicaid operations. This remote role involves coordinating with teams to ensure accuracy in publications and educating providers about regulatory... 
    Remote job

    Gainwell Technologies

    Kansas City, MO
    19 hours ago
  •  ...care plans, coordinate services, and support members with Medicare/Medicaid in a remote, home-based role with 25-50% travel within Monmouth/Ocean...  ...position emphasizes holistic care, collaboration with providers, and adherence to regulatory standards. The role requires... 
    Remote job
    Work from home

    Hispanic Alliance for Career Enhancement

    Montclair, NJ
    19 hours ago
  • Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services seeks a highly qualified candidate for the Program Specialist VI (Provider Enrollment Policy Analyst) in the Provider Enrollment unit. The PE analyst develops policy, interprets regulations, and... 
    Remote job

    FALL CREEK FARM & NURSERY

    Austin, TX
    20 hours ago
  • $100.3k - $172k

     ...care experiences and partner closely with providers to ensure members are genuinely cared...  ...business partners. Evaluates and negotiates contracts in compliance with company contract...  ...viable option This position is a Remote role. To be eligible for consideration,... 
    Remote work
    Contract work
    Work experience placement

    Medica

    United States
    3 days ago
  • $120k - $225k

    Job Details 100% REMOTE Salary: $120,000 - $225,000 per year Why Join Us Comprehensive...  ...) with match Work from home equipment provided Paid paternity leave Responsibilities...  ...at least two years of experience with Medicare/Medicaid fraud/FCA claims. The attorney should... 
    Remote work
    Work from home

    Jobot

    Phoenix, AZ
    5 days ago
  • A leading legal services provider is seeking a motivated attorney to work remotely in Phoenix, Arizona. The ideal candidate will have at least two years of experience in Medicare/Medicaid fraud and FCA claims, along with strong writing, research, and analytical skills.... 
    Remote job
    Work from home

    Jobot

    Phoenix, AZ
    5 days ago
  • $126.3k - $173.7k

     ...Program Delivery Associate Director, Provider Operations Become a part of our caring community...  ...Additional Information This is a remote position. Work at Home...  ...better quality of life for people with Medicare and Medicaid, families, individuals, military service... 
    Remote work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office

    Minnesota Jobs

    Saint Paul, MN
    3 days ago
  • $115.2k - $158.4k

     ...Program Delivery Lead, Provider Operations Become a part of our caring community...  ...Additional Information This is a remote position. Work at Home Requirements...  ...better quality of life for people with Medicare and Medicaid, families, individuals, military service... 
    Remote work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office

    Minnesota Jobs

    Saint Paul, MN
    3 days ago
  • $90k - $120k

     ...the first 25 applicants This range is provided by Lumenalta. Your actual pay will be...  ...healthcare ecosystem, with a strong focus on Medicaid, Medicare, and payer/provider operations. You’ll...  .... Location: This is a fully remote position ; however, candidates must be... 
    Remote work
    Full time
    Monday to Friday
    Flexible hours

    Lumenalta

    Tampa, FL
    2 days ago
  •  ...to lead the development and support of provider networks and unit cost management activities...  .... You will guide pricing modeling and contract negotiations, partnering with senior...  ...efficient, geographically balanced networks. Remote work is available from anywhere within... 
    Remote job
    Contract work

    UnitedHealthcare

    Austin, TX
    5 days ago
  • $221.85k - $258.83k

     ...Parsippany, New Jersey; remote candidates may be considered...  ...location preferred.As Director / Senior Director of Medicaid Revenue Optimization & Automation...  ...guidance, and any new contracts or amendments, promptly...  ..., and results. Provide strategic direction, performance... 
    Remote work
    Local area
    Worldwide
    Flexible hours

    Teva Pharmaceutical Industries

    Parsippany, NJ
    1 hour ago
  •  ...A leading health insurance provider is seeking a Licensed Medicare Insurance Agent to work remotely from home in Cincinnati, OH. In this role, you’ll educate clients, help them navigate Medicare options, and build lasting relationships. You must possess a valid health... 
    Remote work
    Work from home

    HealthPlanOne

    Cincinnati, OH
    2 days ago
  • $86.3k - $118.7k

     ...team as a Manager, Provider Engagement. Reporting to the Director, Provider...  ...Humana’s Virginia Medicaid plan - Work with...  ...or more years of contract negotiation and implementation...  ...is defined as remote but will use Humana...  ...life for people with Medicare and Medicaid,... 
    Remote work
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Illinois
    2 days ago
  •  ...Project Manager (Medicaid / Medicare) Location: Remote Duration: 8+ Months Interview Process: 2 Video Rounds (No Technical Interview) Client Notes Recent Medicaid and Medicare experience is mandatory Government Healthcare Programs... 
    Remote work

    Akaasa Technologies

    Remote
    2 days ago
  •  ...Management (ICM) Care Manager to advocate for dually eligible Medicare/Medicaid members. This remote-friendly role requires 25-50% travel within Ocean...  ...care using clinical tools, collaborating with members, providers and community organizations to improve outcomes and... 
    Remote job

    Hispanic Alliance for Career Enhancement

    Bayonne, NJ
    19 hours ago
  •  ...CVS Health is seeking an AVP, Regional CFO to provide strategic financial leadership across Medicaid markets. You will coach Market CFOs, ensure risk mitigation, and drive sustainable margin improvement. Remote work from home is open, with leadership responsibilities... 
    Remote job
    Work from home

    Jobleads-US

    Lansing, MI
    2 days ago
  • $48.9k - $66.2k

     ...Provider Engagement Professional - Network Development and Relations...  ...performance within the contracted working relationship with...  ...Travel: While this is a remote position, occasional travel...  ...quality of life for people with Medicare and Medicaid, families, individuals,... 
    Remote work
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office

    Minnesota Jobs

    Saint Paul, MN
    4 days ago
  •  ...involves creating test cases and scenarios, executing tests, and providing UAT support. Key skills include a strong knowledge of Medicaid, CHIP, SNAP, and TANF programs. The position is contract-based and remote, geared towards candidates with mid-senior level expertise in... 
    Remote job
    Contract work

    Talent Groups

    New York, NY
    1 day ago
  • Gainwell Technologies is seeking a remote customer service specialist to assist Medicaid providers and members with coverage, claims, and benefit inquiries. The ideal candidate has at least one year of call center experience, with strong communication and problem-solving... 
    Remote job
    Work from home
    Home office

    Gainwell Technologies

    New York, NY
    3 days ago
  •  ...members. This home-based role requires travel within Passaic/Sussex Counties to meet members face to face and coordinate care across providers and community resources. The role emphasizes proactive care planning, assessment, and collaboration with the interdisciplinary... 
    Remote job
    Work from home

    Hispanic Alliance for Career Enhancement

    Bayonne, NJ
    3 days ago
  •  ...County, New Jersey, with standard M-F hours. The RN will assess, plan, and coordinate care for dual eligible members enrolled in Medicare and Medicaid, addressing medical and social determinants of health. The role requires 3+ years of clinical practice, NJ RN licensure, and... 
    Remote job
    Work from home

    Hispanic Alliance for Career Enhancement

    Newark, NJ
    19 hours ago
  • $91.7k - $163.7k

     ...3,700/yearJob Area: Network Contracting & PricingCompany: UnitedHealth...  ...development and support of Provider Networks as well as unit...  ...have the flexibility to work remotely* as you take on some tough challenges...  ...-depth knowledge of Medicare Resource Based Relative Value... 
    Remote work
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Local area

    UnitedHealth Group

    Brentwood, TN
    5 hours ago
  •  ...reviews, care coordination, and discharge planning for Kentucky Medicaid members. You will use clinical judgment to decide on level of care and communicate decisions with providers and members. The role is remote/work-from-home with weekend shifts and some travel to the... 
    Remote job
    Work at office
    Work from home
    Shift work

    Santa Barbara Cottage Hospital

    New York, NY
    19 hours ago
  •  ...Health is seeking an experienced Integrated Care Management (ICM) Care Manager to assess and coordinate care for members with Medicare/Medicaid needs. You will develop proactive plans, collaborate with healthcare teams, and leverage data to address health and social determinants... 
    Remote job
    Full time
    Work from home

    Hispanic Alliance for Career Enhancement

    North Bergen, NJ
    3 days ago
  • Med-Care Providers is seeking a Medical Billing / Credentialing Specialist in Las Vegas...  ...in medical billing with a focus on Medicare and Medicaid claims. Responsibilities include preparing...  ...certifications. Flexibility for remote or hybrid work may be available. #J-18... 
    Remote work
    Part time

    Med-Care Providers

    Las Vegas, NV
    5 days ago
  •  ...Providing senior-level support for government contracts activities, the full-time Senior Specialist, Government Contracts will develop and administer contracts with state and federal governments for Medicaid, Medicare, and Marketplace programs while ensuring compliance... 
    Remote work
    Full time
    Contract work

    Virtual Vocations Inc

    United States
    5 days ago
  • $177.48k

     ...REQUISITIONCapital Projects & Contracts (Construction) Associate...  ...Belong Here The Protiviti Career provides opportunity to learn, inspire...  ...is looking for an Associate Director to join our Capital Projects...  ...person with a purpose and working remotely. This model creates... 
    Remote work
    Full time
    Contract work
    Temporary work
    For contractors
    For subcontractor
    Local area
    Flexible hours

    Protiviti

    Denver, CO
    1 day ago
  • $110k - $130k

     ...empower specialized autism care providers to seamlessly start, run, and...  ..., systems-fluent, and contract-proficient Group Contracting...  ...under a permanent, full-time remote configuration open across the...  ...handles complex commercial and Medicaid relationships, manages distributed... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Work at office
    Local area
    Shift work

    Finni Health

    Remote
    a month ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Provider Contracting Director (Medicare & Medicaid). Be the first to apply!