Minneapolis, MN · On-site
$102.80K - $121.60K/yr
... Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs). The Unified PDL Project Manager reports to the Optum Account Director and works closely with the DCH ...
Minneapolis, MN · On-site
$102.80K - $121.60K/yr
... Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs). The Unified PDL Project Manager reports to the Optum Account Director and works closely with the DCH ...
Minneapolis, MN · On-site
$102.80K - $121.60K/yr
... Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs).The Unified PDL Project Manager reports to the Optum Account Director and works closely with the DCH ...
Minneapolis, MN · On-site
$102.80K - $121.60K/yr
... Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs).The Unified PDL Project Manager reports to the Optum Account Director and works closely with the DCH ...
West Saint Paul, MN · On-site
$200K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology * Potential for salary of $200,000+ a year with consistent new patients * $20,000 Sign On Bonus * Hybrid ...
Quick apply
West Saint Paul, MN · On-site
$200K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology * Potential for salary of $200,000+ a year with consistent new patients * $20,000 Sign On Bonus * Hybrid ...
Saint Paul, MN · Hybrid
$200K/yr
PPO / Fee for service office No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $200,000+ a year with consistent new ...
Saint Paul, MN · Hybrid
$200K/yr
PPO / Fee for service office No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $200,000+ a year with consistent new ...
Saint Paul, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Saint Paul, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Saint Paul, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Saint Paul, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Hopkins, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Hopkins, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Hopkins, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Hopkins, MN · On-site
$250K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology: cone beam, iTero, endo motors in all ops! * Potential for salary of $250,000+ a year with consistent new ...
Hopkins, MN · On-site
$200K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology * Potential for salary of $200,000+ a year with consistent new patients * Up to $20,000 Sign On Bonus * Hybrid ...
Quick apply
Hopkins, MN · On-site
$200K/yr
PPO / Fee for service office - No Medicaid * Modern large office with latest technology * Potential for salary of $200,000+ a year with consistent new patients * Up to $20,000 Sign On Bonus * Hybrid ...
Eden Prairie, MN · On-site
$225K - $375K/yr
Fee-for-service (FSS)and/or Value-Based care experience * Provider Group experience * Based in MN or on the East Coast *All employees working remotely will be required to adhere to UnitedHealth Group ...
Eden Prairie, MN · On-site
$225K - $375K/yr
Fee-for-service (FSS)and/or Value-Based care experience * Provider Group experience * Based in MN or on the East Coast *All employees working remotely will be required to adhere to UnitedHealth Group ...
Eden Prairie, MN · Hybrid
$225K - $375K/yr
Fee-for-service (FSS)and/or Value-Based care experience * Provider Group experience * Based in MN or on the East Coast *All employees working remotely will be required to adhere to UnitedHealth Group ...
Eden Prairie, MN · Hybrid
$225K - $375K/yr
Fee-for-service (FSS)and/or Value-Based care experience * Provider Group experience * Based in MN or on the East Coast *All employees working remotely will be required to adhere to UnitedHealth Group ...
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Duluth, MN · On-site
$111.50K - $151.10K/yr
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Duluth, MN · On-site
$111.50K - $151.10K/yr
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Fee-For-Service Healthcare Company Job Summary The company was created by the merger of leading senior healthcare providers. With a combined footprint reaching 26 states and over 1000 senior living ...
Rochester, MN · On-site
$15.25 - $20.25/hr
Serving the community for over 70 years, our experienced and dedicated staff deliver high-quality, fee-for-service dental care in a professional, patient-focused environment. Our team works together ...
Rochester, MN · On-site
$15.25 - $20.25/hr
Serving the community for over 70 years, our experienced and dedicated staff deliver high-quality, fee-for-service dental care in a professional, patient-focused environment. Our team works together ...
$15.25 - $20.25/hr
Serving the community for over 70 years, our experienced and dedicated staff deliver high-quality, fee-for-service dental care in a professional, patient-focused environment. Our team works together ...
$15.25 - $20.25/hr
Serving the community for over 70 years, our experienced and dedicated staff deliver high-quality, fee-for-service dental care in a professional, patient-focused environment. Our team works together ...
$15.25 - $20.25/hr
Serving the community for over 70 years, our experienced and dedicated staff deliver high-quality, fee-for-service dental care in a professional, patient-focused environment. Our team works together ...
$15.25 - $20.25/hr
Serving the community for over 70 years, our experienced and dedicated staff deliver high-quality, fee-for-service dental care in a professional, patient-focused environment. Our team works together ...
| Aspect | Fee For Service | Physical Therapist |
|---|---|---|
| Credentials | Varies; often licensed professionals or specialists | Licensed healthcare professional with Doctor of Physical Therapy (DPT) degree |
| Work Environment | Private practices, clinics, hospitals, outpatient centers | Hospitals, outpatient clinics, rehab centers, sports facilities |
| Industry Usage | Billing method for healthcare services | Healthcare profession providing rehabilitative care |
| Comparison Focus | Payment structure | Professional role and scope of practice |
Fee For Service refers to a billing model where healthcare providers are paid for each service rendered, while a Physical Therapist is a licensed professional providing rehabilitative care. The two are related in healthcare but differ in purpose: one is a payment method, the other a specific healthcare role.
$102.80K - $121.60K/yr
Other
This job post has expired today. Applications are no longer accepted.
Work location: 75% telecommute and 25% on site at client location in Atlanta, GA. 2 MLK Jr Drive, Atlanta, GA.
Work hours: 8am - 5pm eastern
The Unified Preferred Drug List (PDL) Project Manager manages the implementation of a single PDL on behalf of the Georgia Department of Community Health (DCH) from the perspective of Optum as the Single PDL vendor, supporting DCH’s efforts to align the PDL between the Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs). The Unified PDL Project Manager reports to the Optum Account Director and works closely with the DCH Pharmacy team, Northstar Healthcare Consulting (NHC), Prime Therapeutics, CMO vendors, and other DCH resources to execute DCH’s desired approach for aligning stakeholder notifications, Utilization Management (UM), system messaging, system editing, and pricing.
The Unified PDL Project Manager manages the overall unified PDL project plan including Project Schedule, Risk Management Plan, Communication Plan, Status Reporting, Project Roles, and Responsibilities.
The candidate will be working with a team of 12 people from Optum, the client, and other vendors. The team is made up of Pharmacists and business resources from Optum, the State and multiple supporting vendors.
The ideal candidate for Unified PDL Project Manager should demonstrate a 5+ year history of leading Medicaid implementations, managing Medicaid pharmacy initiatives or similar projects. The Unified PDL Project Manager should be familiar with the Georgia Medicaid program, Pharmacoeconomics, and the integration points between vendors.
The Unified PDL Project Manager must possess strong verbal and written communication skills with the ability to interface at multiple levels from front line team members to senior management. The Unified PDL Project Manager should demonstrate high proficiency in Microsoft Office desktop applications, Microsoft Project, Microsoft Teams, plus experience in facilitating in-person and virtual meetings. Project Management Professional (PMP) Certification is preferred but not required.
Fee for service and Managed medicaid program experience, Project Management, Medicaid rebates, medicaid pharmacy claims processing, pharmacy reporting and analytics, Georgia Medicaid will set a candidate apart.
Interview process: MS Teams on camera interview or in person if candidate lives in the Atlanta area.
