403 project manager medical policy team jobs found

Job Description A leader in the managed care industry is hiring for a REMOTE Business Systems Analyst to join their IT delivery team that is responsible for owning all the requirements for their LTSS (long term support services/long term care) LOB. Currently, the team works in 2 week Agile sprints to illicit, document and review requirements across three verticals (internal IT, internal business stakeholders, and their external implementation partner. As a BSA on the team, you will work with corporate operations to ensure their requirements have been properly defined using methods like GAP and SWOT analysis. Leveraging your Agile skillset, you will translate BRD's into user stories and work with the Product Owner to align the backlog prioritization. The ideal candidate will have a strong understanding of Medicare/Medicaid business processes, so they can ask detailed questions while illicit requirements and avoid any critical gaps. This is a very collaborative team that meets...

At Moody's, we unite the brightest minds to turn today’s risks into tomorrow’s opportunities. We do this by striving to create an inclusive environment where everyone feels welcome to be who they are—with the freedom to exchange ideas, think innovatively, and listen to each other and customers in meaningful ways. Moody’s is transforming how the world sees risk. As a global leader in ratings and integrated risk assessment, we’re advancing AI to move from insight to action—enabling intelligence that not only understands complexity but responds to it. We decode risk to unlock opportunity, helping our clients navigate uncertainty with clarity, speed, and confidence. If you are excited about this opportunity but do not meet every single requirement, please apply! You still may be a great fit for this role or other open roles. We are seeking candidates who model our values: invest in every relationship, lead with curiosity, champion diverse perspectives, turn inputs into actions, and...

Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. ? Ideal candidates will be able to report to one of our Pulse Point locations in Columbus, OH, Norfolk, VA, Mason, OH, Atlanta, GA, Wallingford, CT or Indianapolis, IN. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Provider Contract/Cost of Care Analyst Senior provides analytical support to the Cost of Care and/or...

Individuals interested in applying for this vacancy must have eligibility. If you are new to state service or need to gain eligibility to this classification, please Click Here to open the examination bulletin and follow the instructions on “How to apply”. The examination is a separate process from applying for this vacancy. Please be sure to follow all instructions for each process. Virtual interviews via web portals or phone may be offered as deemed appropriate and feasible by the hiring manager – standard in-person interviews will still be offered if conditions permit. Under the general direction of the Program and Project Supervisor (PPS), the PURA IV is responsible for planning and implementing consumer protection and other enforcement cases involving communications and energy companies. The PURA IV plans, organizes, leads and/or independently conducts the more complex...

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.   Ideal candidates will be able to report to one of our Pulse Point locations in Columbus, OH, Norfolk, VA, Mason, OH, Atlanta, GA, Wallingford, CT or Indianapolis, IN. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Provider Contract/Cost of Care Analyst Senior provides analytical support to the Cost of Care and/or Provider Contracting organizations and serves as an expert...

Are you ready to step into a position that combines your communication skills, attention to detail, ability to multitask, and unrelenting drive to help others? We are looking for an Operations Sr Analyst/PACE Program Manager to join our team. This person will be a client facing point of contact for our external partners (i.e. Reimbursement Hubs and Pharma Manufacturers) and act as a liaison between those customers and our internal operations teams. What you'll do to make a difference *: * Interact with internal and external partners at all levels the majority of your workday. Manage the relationship between your aligned pharmaceutical client(s), their HUBs and their program(s). Act as a liaison to answer questions related to Accredo Specialty Pharmacy processes, service issues and mitigate any escalations. Understand the nuances of how to position Accredo Specialty Pharmacy externally in a professional and discreet manner (what to say/not to say)....

Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst III supports Medicare Advantage pricing and bid development within the Medicare Actuarial team. How You Will Make An Impact Primary duties may include, but are not limited to: Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy, methodology consistency, and timely...

Chicago, Illinois, US Joint Base Lewis-McChord, Washington, US Fairborn, Ohio, US Fort Meade, Maryland, US Dover, Delaware, US Wright-Patterson AFB, Ohio, US Business Systems/Analysis 12238 Full-Time Yes - May Consider Occasional/Part Time Teleworking for this position $85032.41 - $141720.69 Position Description & Qualifications Position Description & Qualifications Serco is excited to continue our support to the F-35 Joint Strike Fighter Program Office (JPO). This contract provides program management support in support of the full acquisition lifecycle of the F-35 program, to include development, production, and sustainment. The F-35 Joint Program Office (JPO) is a joint, multi-national program and is the Department of Defense's (DoD) focal point for defining affordable next generation strike aircraft weapon systems among the United States (U.S.) Air Force (USAF), U.S. Navy (USN), U.S. Marine Corps (USMC), and U.S. allies currently...

Important Recruitment Information for this vacancy Job Posting closes: January 30, 2026 Required documents uploaded by: January 30, 2026 Kansas Department of Health and Environment: Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans. Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. KDHE does not provide sponsorships for this position. E-Verify: Kansas Department of Health and Environment (KDHE) participates in...

We anticipate the application window for this opening will close on - 31 Jan 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life In this role as a Principal PD Project Analyst within the Medtronic Pelvic Health & Neuromodulation Project Management Office (PMO), you will oversee the operational and analytical aspects of the entire lifecycle of product development programs across multiple businesses and servicing various business needs. You will partner with cross-functional teams to support initiatives such as pre- and post-market commercialization program planning & execution, process improvements, lifecycle management, productivity programs, and compliance-driven projects. We are seeking a self-starting team member who is detail-oriented,...

Actuarial Analyst III Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst III supports Medicare Advantage pricing and bid development within the Medicare Actuarial team. How You Will Make an Impact: Primary duties may include, but are not limited to: Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy,...

Chicago, Illinois, US Joint Base Lewis-McChord, Washington, US Fairborn, Ohio, US Fort Meade, Maryland, US Dover, Delaware, US Wright-Patterson AFB, Ohio, US Business Systems/Analysis 12238 Full-Time Yes - May Consider Occasional/Part Time Teleworking for this position $85032.41 - $141720.69 Position Description & Qualifications Position Description & Qualifications Serco is excited to continue our support to the F-35 Joint Strike Fighter Program Office (JPO). This contract provides program management support in support of the full acquisition lifecycle of the F-35 program, to include development, production, and sustainment. The F-35 Joint Program Office (JPO) is a joint, multi-national program and is the Department of Defense's (DoD) focal point for defining affordable next generation strike aircraft weapon systems among the United States (U.S.) Air Force (USAF), U.S. Navy (USN), U.S. Marine Corps (USMC), and U.S. allies currently...

Actuarial Analyst III Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst III supports Medicare Advantage pricing and bid development within the Medicare Actuarial team. How You Will Make an Impact: Primary duties may include, but are not limited to: Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy,...

Virginia, US Chesapeake, Virginia, US California, US Chula Vista, California, US Charleston, South Carolina, US San Diego, California, US Finance 12541 Full-Time Yes - May Consider Occasional/Part Time Teleworking for this position $63278.16 - $94917.82 Position Description & Qualifications Position Description & Qualifications Serco is seeking a Financial Analyst to join our dynamic fast-paced team to handle full life-cycle program finances. This role calls for a well-rounded ambitious self-starter who thrives in a fast-paced, demanding environment. Key attributes we are seeking for this role is the ability to multitask and prioritize deliverables, strong Excel acumen, familiar with financial systems and data warehouses, excellent communication skills, and a desire to learn program finances across various contract types. The selected individual will consistently demonstrate high levels of technical and professional intelligence and quickly...

Actuarial Analyst III Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst III supports Medicare Advantage pricing and bid development within the Medicare Actuarial team. How You Will Make an Impact: Primary duties may include, but are not limited to: Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy,...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Manager - Financial Services Organization - AI and Data - Service Delivery Center EY is the only professional services firm with a separate business unit ("FSO") that is dedicated to the financial services marketplace. Our FSO teams have been at the forefront of every event that has reshaped and redefined the financial services industry. This practice also has several Service Delivery Centers that are made up of high-performing US-based resources who work closely with our experienced client serving professionals to deliver project-based work and managed services to our US-based Financial Services clients. If you have a passion for rallying together to solve the most complex challenges in the financial services industry, come join our dynamic...

Cash Management Analyst Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Cash Management Analyst manages the resources necessary to determine and settle the daily and short-term liquidity position of the company and multiple subsidiaries. How You Will Make an Impact Administers daily cash positioning for the Parent Company and multiple subsidiaries -...

JLL empowers you to shape a brighter way . Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep experience in commercial real estate, skilled trades or technology, or you’re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. JLL seeks a Senior Transaction Analyst to provide critical support to our global transaction management teams for an Industrials portfolio. This role is instrumental in advancing operational excellence and driving continuous process enhancement while enabling Transaction Managers to focus on high-value client advisory activities and complex negotiations. Location: Remote (Central/Eastern...

Cash Management Analyst Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Cash Management Analyst manages the resources necessary to determine and settle the daily and short-term liquidity position of the company and multiple subsidiaries. How You Will Make an Impact Administers daily cash positioning for the Parent Company and multiple subsidiaries -...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Manager - Financial Services Organization - AI and Data - Service Delivery Center EY is the only professional services firm with a separate business unit ("FSO") that is dedicated to the financial services marketplace. Our FSO teams have been at the forefront of every event that has reshaped and redefined the financial services industry. This practice also has several Service Delivery Centers that are made up of high-performing US-based resources who work closely with our experienced client serving professionals to deliver project-based work and managed services to our US-based Financial Services clients. If you have a passion for rallying together to solve the most complex challenges in the financial services industry, come join our dynamic...

Under supervision of the Sr. Director of the Central Capex, the Capex Buyer Analyst will support Category Managers and CAPEX Leads with operational, strategic & logistics activities critical to the success of the projects being worked by the company. Ensure due diligence on project suppliers is done on a timely basis (Non-Disclosure Agreements, D&B, Graydon, RFI etc.) Establish new supplier accounts to ProSource e-tool. Tender RFQ to request bids from suppliers to win specified business projects/deals. Establish bidding format through Prosource. Fill out draft contract for RFP/RFX. Support buyers with pre and/or post contract communication with the vendors. Assist Capex Buyers in contacting various internal departments (Engineering, Risk Management, Legal, Operations, etc) to facilitate expedient communication as required. Set up bid walk for projects and coordinate RFIs/FAQs. Download bid proposals from ProSource and...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : Summary This critical role leads our Supply Chain Core Products team, a high-performing team responsible for building, enhancing, and operationalizing scalable internal analytics products that drive operational efficiency and data-informed decision-making across Ryder's supply chain and logistics operations. This role focuses on developing persistent analytics solutions—such as AI-powered labor management systems, predictive forecasting tools, and self-service Power BI dashboards—leveraging data engineering, AI/ML, and visualization technologies to deliver measurable business impact, including time savings, error reduction, and improved resource utilization. The Core Products Manager collaborates closely with our internal Supply Chain Product and Analytics Team and adjacent Platform teams to translate business needs into...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : Summary This critical role leads our Supply Chain Core Products team, a high-performing team responsible for building, enhancing, and operationalizing scalable internal analytics products that drive operational efficiency and data-informed decision-making across Ryder's supply chain and logistics operations. This role focuses on developing persistent analytics solutions-such as AI-powered labor management systems, predictive forecasting tools, and self-service Power BI dashboards-leveraging data engineering, AI/ML, and visualization technologies to deliver measurable business impact, including time savings, error reduction, and improved resource utilization. The Core Products Manager collaborates closely with our internal Supply Chain Product and Analytics Team and adjacent Platform teams to translate business needs into...

Position Description & Qualifications Serco is excited to continue our support to the F-35 Joint Strike Fighter Program Office (JPO). This contract provides program management support in support of the full acquisition lifecycle of the F-35 program, to include development, production, and sustainment. The F-35 Joint Program Office (JPO) is a joint, multi-national program and is the Department of Defense’s (DoD) focal point for defining affordable next generation strike aircraft weapon systems among the United States (U.S.) Air Force (USAF), U.S. Navy (USN), U.S. Marine Corps (USMC), and U.S. allies currently composed of seven (7) cooperative international partners: the United Kingdom, Italy, Netherlands, Canada, Australia, Denmark, and Norway; as well as Foreign Military Sales (FMS) customers. The F-35 is the next generation strike fighter bringing cutting-edge technologies to the battle-space of the future. Our AFLCMC/WJ Configuration Manager, located in...