Senior Network Contracting, Medicaid Job at CVS Health (Work at Home)

Payer Lead, Medicaid

The Payer Lead – Medicaid will own Babylist Health's end-to-end Medicaid contrac...

Location

United States

Salary:

104995.00 - 125952.00 USD / Year

Babylist

Expiration Date

Until further notice

Requirements

6–8+ years of experience in payer contracting, with deep Medicaid and MCO expertise
Prior experience at a DME, healthcare services company, or payer-adjacent organization
Proven track record of securing state licenses and MCO contracts
Strong existing relationships across Medicaid agencies, MCOs, and industry trade groups
Comfort operating in complex regulatory environments
Able to get hands-on and in the weeds to deliver iron clad contracts that can be turned on expeditiously
Experience at a health-tech, high growth, or similar start up environment a plus
You're comfortable and enthusiastic about working in an AI-forward environment where AI tools are part of daily operations
You embrace using technology to enhance your work while keeping people at the center

Job Responsibility

Own Babylist Health's end-to-end Medicaid contracting strategy and execution
Unlock one of the company's largest growth opportunities by securing state Medicaid licenses and Managed Care Organization (MCO) contracts
Expand Babylist Health's footprint across high-birth-volume states
Build durable payer relationships that enable long-term scale
Set the Medicaid market strategy in partnership with the GM
Prioritize state license applications
Drive direct contracting efforts
Build the external relationships (trade associations, payer stakeholders, regulators) required to win in competitive Medicaid markets
Own the Medicaid expansion roadmap, including state prioritization, sequencing of license acquisition, and MCO penetration targets
Partner with an outside consulting firm to submit Medicaid license applications in prioritized states

What we offer

Competitive salary with equity and bonus opportunities
Company-paid medical, dental, and vision insurance
Retirement savings plan with company matching and flexible spending accounts
Generous paid parental leave and PTO
Remote work stipend to set up your office
Perks for physical, mental, and emotional health, parenting, childcare, and financial planning

Fulltime

New

Senior Manager, Contract Negotiation Manager

This position supports Ancillary Provider Contracting and Relationship Managemen...

Location

United States , Work at Home

Salary:

75400.00 - 165954.00 USD / Year

CVS Health

Expiration Date

March 31, 2026

Requirements

5+ years of Provider Contract Network and Negotiation experience preferably within the ancillary space
Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements
3+ years related experience Commercial HMO, PPO products knowledge
3+ years related experience Medicare and/or Medicaid products knowledge
Must reside in Ohio
Bachelor’s Degree or equivalent professional experience

Job Responsibility

Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with ancillary providers
Manages contract performance in support of network quality, availability, and financial goals and strategies
Recruit providers as needed to ensure attainment of network expansion and adequacy targets
Collaborates cross -functionally to contribute to provider compensation and pricing development activities, recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities
Identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities
Provides ancillary network development, maintenance, and refinement activities and strategies in support of cross-market network management unit
Assists with the design, development, management, and/or implementation of strategic network configurations, including integration activities
Optimizes interaction with assigned providers and internal business partners to manage relationships and ensure providers needs are met
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation, and parameters or accuracy of provider contract or demographic information

What we offer

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance

Fulltime

New

Senior Community Management Professional

Become a part of our caring community and help us put health first. The Senior C...

Location

United States

Salary:

65000.00 - 88600.00 USD / Year

Humana

Expiration Date

Until further notice

Requirements

Must reside in Michigan or within 40 miles of the border in Indiana or Ohio and be able to support members in southeast Michigan
Bachelor’s degree
Two (2) or more years of previous experience in healthcare or health plan marketing, community engagement or member/patient outreach
One (1) or more years of formal leadership experience
Skilled in planning, project management, community engagement and development, and resource mobilization
Understands the fundamentals of effective community engagement specific to Medicaid members, including those with behavioral health needs and varied health literacy
Proven knowledge and understanding of how to remove barriers to care in the Medicaid population
Exercises professional judgment and demonstrates strong facilitation, conflict management and consensus building skills
Ability to prioritize, organize, and coordinate multiple projects simultaneously
This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Job Responsibility

Responsible for directing community engagement practices, facilitating and planning Member and Community Advisory Panels, collaborating with contracted medical and ancillary service providers, Federally Qualified Health Centers, Social Service Agencies, and care managers with the responsibility to link our membership to services and supports critical to the improvement of health outcomes
Responsible for representation of members’ interest, including input in policy development, planning and decision-making
Interviews, hires, mentors, evaluates, coaches and manage performance for team of Community Engagement Specialists
Responsible for engagement in community boards and committees such as the Community Health Worker Network
Works directly with the Equitable Population Health Leadership team to drive outcomes aligned with larger organizational goals and builds a robust member outreach program
Compare member’s demographic and social support and services data to identify opportunities to address and fill service gaps with strategic community partners and service providers
Cultivate need-based partnerships with social support and service providers, supporting evidence-based programs with positive health outcomes
Positively position Humana among local/community groups and coalitions, community health leaders, and public health service providers.

What we offer

medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance
bonus incentive plan
bi-weekly payment for internet expense for employees in California, Illinois, Montana, or South Dakota
telephone equipment provided.

Fulltime

New

Special Education Needs Teaching Assistant

As an SEN Teaching Assistant, you will play a crucial role in supporting student...

Location

United Kingdom , Paignton

Salary:

Not provided

Randstad

Expiration Date

February 25, 2026

Requirements

Eligibility to work in UK
Enhanced child DBS on the update service or willingness to get one
Experience working with children or young people with additional care needs
2 recent professional references
Experience with challenging behaviors
A calm & caring personality
A strong and resilient personality and be committed to pupils' development
Reading, writing, numeracy and communication skills
Team Teach trained - or willing to attend training

Job Responsibility

Work with pupils on a one-to-one basis or in small groups
Support the teacher in delivering informative and engaging lessons
Support students with challenging behavior
Prepare for lessons (e.g. preparing resources, putting out equipment)
Support with some of the pupils' additional care needs (e.g. feeding, toileting)
Support the children in completing day-to-day tasks around the classroom and with their learning
Ensure that pupils are safeguarded and supported

What we offer

Continuous career development opportunities
Your own dedicated and experienced consultant to guide you through the application process
Free accredited training, both online and on-site
TA support in classes
Weekly pay and competitive daily rates
Earn £300 in shopping vouchers by referring a friend
Working in a school with many great facilities
Supportive Senior Leadership Team
The opportunity for a permanent post and gain experience in the SEN sector
Being part of a passionate team

!

New

Supply teacher

Randstad Education is now recruiting a cover supervisor to work with a school in...

Location

United Kingdom , Paignton, Devon

Salary:

Not provided

Randstad

Expiration Date

February 25, 2026

Requirements

Basic understanding of the national Key Stage Curriculum
Knowledge of child development and learning
Skills to self-evaluate your own learning needs
Strong communication skills
Ability to cover a wide range of lessons
Confidence to manage a class of mixed-ability pupils
Ability to keep students focused and on task
Ability to provide constructive feedback that encourages pupil's positive self-esteem
Dedication to establishing positive relationships with pupils
The Ability to handle complex and sensitive issues with empathy and understanding

Job Responsibility

Supervising pupils, ensuring they are engaged in the classwork
Encouraging pupils to interact
Helping pupils to become more independent in their learning
Establishing trust with pupils, interacting with them according to individual needs
Assisting pupils with tasks as needed
Creating a safe, positive, supportive classroom environment
Promoting good behavior, dealing promptly with conflict and incidents in line with established policies, and encouraging pupils to take responsibility for their behavior
Collecting completed work and returning it to the teacher
Assisting with the supervision of pupils before and after school and at break times
Providing feedback to teachers on pupil's achievement, progress, and any problems

What we offer

CPD courses to further your journey in education
Excellent referral scheme - recommend a friend and earn up to *£300 in shopping vouchers
Weekly pay with competitive pay rates
Lesson planning assistance
Flexible working to suit your lifestyle
Experience within school environments
Opportunity to work in various local schools to find the right environment for you
Ability to work on a flexible basis
Dedicated consultant with experience of working in Education

!

New

SEN Teaching assistant

"Teaching is the most rewarding job-start your journey today." Randstad Educatio...

Location

United Kingdom , Paignton

Salary:

Not provided

Randstad

Expiration Date

February 25, 2026

Requirements

Eligibility to work in UK
Enhanced child DBS on the update service or willingness to get one
Experience working with children or young people with additional care needs
2 recent professional references
Experience with challenging behaviors
A calm & caring personality
A strong and resilient personality and be committed to pupils' development
Reading, writing, numeracy and communication skills
Team Teach trained - or willing to attend training

Job Responsibility

Work with pupils on a one-to-one basis or in small groups
Support the teacher in delivering informative and engaging lessons
Support students with challenging behavior
Prepare for lessons (e.g. preparing resources, putting out equipment)
Support with some of the pupils' additional care needs (e.g. feeding, toileting)
Support the children in completing day-to-day tasks around the classroom and with their learning
Ensure that pupils are safeguarded and supported

What we offer

Continuous career development opportunities
Your own dedicated and experienced consultant to guide you through the application process
Free accredited training, both online and on-site
TA support in classes
Weekly pay and competitive daily rates
Earn £300 in shopping vouchers by referring a friend and is subject to terms and conditions
Working in a school with many great facilities, which provide a huge range of opportunities to support excellent learning and development of pupils
Supportive Senior Leadership Team
The opportunity for a permanent post and gain experience in the SEN sector
Being part of a passionate team

!

New

Social Worker

Are you a Qualified Social Worker looking for a new and different kind of role? ...

Location

United Kingdom , Midlothian

Salary:

35.00 - 38.00 GBP / Hour

Randstad

Expiration Date

March 18, 2026

Requirements

PVG
SSSC registration
Social Work Degree
Experience with Adults
Experience with Drugs, alcohol and misuse

Job Responsibility

Assessment and Recovery Planning
Conduct specialist addiction assessments to identify the physical, psychological, and social impacts of substance use
Assist individuals in developing personalized recovery plans, setting realistic goals for both abstinence and harm reduction
Evaluate new referrals and signpost individuals to appropriate partner services (e.g., detox, residential rehab, or mental health teams)
Provide immediate support for individuals in crisis, including relapse prevention and harm reduction advice (e.g., Naloxone training)
Help service users navigate practical barriers such as housing, welfare benefits, and attending medical appointments
Act as the lead professional for complex cases, ensuring that different agencies (GP, Criminal Justice, Housing) are communicating effectively
Identify and manage risks to children or vulnerable adults within the household, participating in Child Protection and Adult Support and Protection (ASP) case conferences
Prepare high-quality social work reports for Courts, Children's Hearings, or Adult Protection inquiries
Execute duties under the Social Work (Scotland) Act and Mental Health Act where relevant to substance misuse

What we offer

Hybrid working
Competitive rates of pay
Mileage reimbursement
Supervision
Weekly pay
One committed and dedicated point of contact
An unlimited referrals incentive, giving you a £300 voucher for anyone you refer to us (T&Cs apply)
A full range of free training available
Access to 100s of discounts through the Hapi App
Free healthcare, medical and financial advice available

New

Primary Teacher

Day-to-Day Primary Teacher role for short-term cover across schools in Plymouth ...

Location

United Kingdom , Ivybridge, Plymouth

Salary:

Not provided

Randstad

Expiration Date

March 06, 2026

Requirements

Qualified Teacher Status (QTS) is a must
A "can-do" attitude and the ability to adapt to different classroom environments quickly
Strong classroom management skills to keep pupils on track
A passion for delivering high-quality education

Job Responsibility

Day-to-day cover across various high-quality schools in Plymouth
Inspire children
Deliver lessons using provided materials
Keep pupils on track

What we offer

True Work-Life Balance: No planning, no prep, and no stay-late meetings
Total Flexibility: Work the days that suit your lifestyle
Ready-to-Go Resources: All lesson materials are provided by the schools
Explore Plymouth Schools: Gain experience in a variety of local settings
Referral Bonus
Training and education
Safeguarding & Prevent

Senior Network Contracting, Medicaid

CVS Health

Location:
United States , Work at Home

Category:
-

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 22, 2026

Expiration:
March 28, 2026

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Job Responsibility:

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