• Astyra Corporation (New Bern, NC)
    …Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy ) 3L and PCS Program Provider Manual _highly desired_* Knowledge of ... flexibility in your weekly schedule. As part of the Personal Care Services (PCS) program , you'll provide vital services to NC Medicaid Beneficiaries with medical… more
    JobGet (07/03/24)
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  • Inova Health System (Alexandria, VA)
    …$45.40 per hourExpected hours: 40 per weekBenefits:* 401(k)* 401(k) matching* Dental insurance* Employee assistance program * Employee discount* Health insurance* ... Alexandria, Springfield Healthplex or Mark Center)* Education: Graduate of accredited school/ program of radiography* Experience: Minimum of 1 year of Imaging… more
    JobGet (07/03/24)
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  • LIGHTHOUSE GUILD INTERNATIONAL, INC (Buffalo, NY)
    GuildCare, an innovative community-based Adult Day Health Care Program , seeks a full time Social Worker to work with our multidisciplinary team in its Niagara Falls ... vision impairments. Applicants must have a Master's degree from an accredited program in Social Work. Prior counselling experience required. Must be proficient in… more
    JobGet (07/01/24)
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  • Government Operations Consultant II - - ESS…

    MyFlorida (Tallahassee, FL)
    …analyzing the impact of proposed legislation; developing and coordinating implementation of Medicaid Program policy , participating in special projects; ... and recommends policy and procedural changes in Medicaid Program policy based on...+ State Group Insurance coverage options, including health, life, dental , vision, and other supplemental insurance options. + Retirement… more
    MyFlorida (07/02/24)
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  • Program Specialist - DHW - Medicaid

    Idaho Division of Human Resources (Boise, ID)
    Program Specialist - DHW - Medicaid Posting Begin Date: 2024/07/02 Posting End Date: 2024/08/04 Category: Administration Sub Category: Program Management ... ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CONSIDERED. The Division of Medicaid is currently seeking aProgram Specialist - DHWwith experience in Medicaid more
    Idaho Division of Human Resources (07/03/24)
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  • Medicaid /Medicare Coordinator

    State of Indiana (Indianapolis, IN)
    …serve as the subject matter expert on dually-eligible individuals, staying breast of Medicare/ Medicaid policy and program innovations, current research and ... the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a...options (including RX coverage) as well as vision and dental plans + Wellness Rewards Program : Complete… more
    State of Indiana (06/26/24)
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  • Medicaid Management Review Monitor

    MyFlorida (Tallahassee, FL)
    … and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... cost-effective, transparent, and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access to… more
    MyFlorida (07/03/24)
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  • Sr Manager, Medicaid Compliance (National)

    CVS Health (Tampa, FL)
    …an in-depth working knowledge of the contractual, regulatory, and program policy related obligations of a Medicaid managed care organization and serve ... business operations, processes and policies in accordance with state specific Medicaid program requirements + Maintain positive, productive relationships with… more
    CVS Health (06/12/24)
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  • Medicaid Application Coordinator

    Genesis Healthcare (Charleston, WV)
    …Care Deeply about YOU! Guided by our Core Values, Code of Conduct and Ethics program , we foster a culture of care and compassion. We focus on improving the quality ... pride in meeting or exceeding CDC and CMS standards.The Medicaid Liaison will provide onsite or remote support to...for applicants including all pertinent forms per the State's policy and procedure and required time limitations. *Monitor the… more
    Genesis Healthcare (06/27/24)
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  • CO Medicaid Enterprise Solutions (CMES)…

    State of Colorado (CO)
    …Provides strategic direction and solutions as Staff Authority to Policy and Program offices in support of HCPF Colorado Medicaid Enterprise Systems (CMES) ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program ), Child Health Plan Plus (CHP+), and other state public… more
    State of Colorado (06/26/24)
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  • Senior Marketing Professional, Medicaid

    Humana (Columbus, OH)
    …and Communications Organization is seeking a Senior CRM Marketing Professional - Medicaid Implementation to join the Medicaid Marketing and Communications team ... working remote nationwide. This role will support Humana's growing Medicaid line of business. Medicaid is supplemental...+ Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development… more
    Humana (07/03/24)
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  • Strategy Advancement Advisor (Fide SNP) - Virginia…

    Humana (Columbus, OH)
    …priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver ... for our members and financial growth for our company. + Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open… more
    Humana (06/28/24)
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  • Medicaid Specialist

    Bear Mountain Health Care (MA)
    Are you a Nursing Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of ... Medicaid applications, conversions, and reviews in various facilities in...Meet and work with residents/families in timely manner, per policy . Monitor and document the progress of the… more
    Bear Mountain Health Care (04/16/24)
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  • Provider Services Advisor ( Medicaid )

    Humana (Indianapolis, IN)
    …Drives development of ad hoc strategic initiatives to execute on the Medicaid Long-Term Services and Support (LTSS)/Home and Community Based Services (HCBS) provider ... execution of Provider Support Plan. + Partners with corporate Medicaid Provider Services team to rollout new segment-wide process...This role is a part of Humana's Driver Safety program and therefore requires an individual to have a… more
    Humana (06/23/24)
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  • Senior Manager, Delivery Medicaid LTC

    Conduent (Baton Rouge, LA)
    …Manager-Delivery, you will manage the performance and success of an approx 90 person Medicaid Long Term Care and Call Center team of associates. You will collaborate ... LA ) **Responsibilities** + Overseeing a full range of Medicaid Long Term Care services including Call Center and...Term Care services including Call Center and ensure the program is operating within the contract + Managing day-to-day… more
    Conduent (04/29/24)
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  • Sr Analyst, Medicaid Compliance Auditing…

    CVS Health (Scottsdale, AZ)
    …Developing and maintaining an in-depth working knowledge of contractual, regulatory, and program policy related obligations + Conducting oversight and monitoring ... to join our Center of Excellence (COE) team. This position supports the Medicaid compliance monitoring program activities and deliverables. The position is… more
    CVS Health (06/01/24)
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  • Nutritionist (Senior Dietician) - Indiana…

    Humana (Lafayette, IN)
    …first** The Nutritionist (Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and regulate patients' ... recommendations to the Contractor's care teams. + Partner with Dental Manager. **Use your skills to make an impact**...in Long-Term Services and Supports (LTSS) or with the program population and experience with gastric tube feeding, weight… more
    Humana (06/12/24)
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  • Provider Education & Outreach Representative (IN…

    Humana (Indianapolis, IN)
    …as well as appropriate education about participation in Humana's Indiana Medicaid plan. + Convenes Joint Operating Committee meetings with providers, including ... Outlook, and PowerPoint. + This role is a part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and… more
    Humana (06/29/24)
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  • Actuary, Medicaid (Remote)

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... teams. + Below are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience compared to rate development… more
    Humana (06/24/24)
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  • Provider Contracting Professional (Behavioral…

    Humana (Charleston, WV)
    …negotiates, and executes behavioral health provider contracts for Virginia Medicaid . The Provider Contracting Professional communicates contract terms, payment ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Use your… more
    Humana (06/15/24)
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