• Project Manager - D

    RedMane Technology (Chicago, IL)
    Project Manager - Medicaid '2013 Chicago Company Description RedMane Technology LLC is an application software consulting and systems integration company ... just our tool. The Role RedMane has a full-time opportunity for an experienced Project Manager with proven Medicaid expertise as we continue to grow our… more
    RedMane Technology (11/12/24)
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  • Manager Research Project B…

    University of Pennsylvania (Philadelphia, PA)
    …and wellness programs and resources, and much more. Posted Job Title Manager Research Project B (Department of Biostatistics, Epidemiology and Informatics) ... Job Profile Title Manager Research Project B Job Description Summary...and synthesizing findings; c) completing institutional review board applications; d ) completing data use agreement, data reuse agreement, and… more
    University of Pennsylvania (11/09/24)
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  • Case Manager - CM III Itcn

    ACI Federal (Norfolk, VA)
    Case Manager - CM III ITCN EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without ... Safeguards and Client Confidentiality. 5. Complies with Part C, Medicaid , DBHDS, Agency requirements and all applicable regulations. Maintains documentation… more
    ACI Federal (11/15/24)
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  • Program Manager - Clinical Program Design…

    Molina Healthcare (GA)
    **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3+ years of… more
    Molina Healthcare (11/14/24)
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  • Case Manager - CM III Path

    ACI Federal (Norfolk, VA)
    Case Manager - CM III PATH EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without ... etc. in a direct service, clinical, or administrative role. Reports to Programs Manager , Housing and Homeless Services Requires management of a number of competing… more
    ACI Federal (11/15/24)
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  • Provider Relations Manager - Remote

    Prime Therapeutics (Columbus, OH)
    …team through the full cycle contract management processes for Commercial, Medicare Part D , Medicaid , and Health Insurance Marketplace and the provider relations ... passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations is… more
    Prime Therapeutics (11/21/24)
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  • Client Services Manager

    Convey Health Solutions (Fort Lauderdale, FL)
    OVERVIEW/GENERAL PURPOSE OF THE POSITION The Client Services Manager is instrumental in cultivating and sustaining long-term relationships between the company and ... drive effective change. A subject matter expert in Medicare processes, the manager ensures services align with client goals and regulatory requirements. ESSENTIAL… more
    Convey Health Solutions (10/22/24)
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  • Manager , Contracts Compliance

    Boehringer Ingelheim (Ridgefield, CT)
    …accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in order to support the Contracting Department's efforts ... related to 340B and Manage the 340B dispute process for either State Medicaid Program, Covered Entities and/or PBMs. + Participate in the LTF Development and… more
    Boehringer Ingelheim (11/14/24)
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  • Integrated Care Coordinator

    Spokane County (Spokane, WA)
    …agency meetings. + Attends regular supervision with the Integrated Behavioral Healthcare Manager to maintain quality of care; responds to requests from supervisors ... for eligible individuals whose behavioral health services are funded with non- Medicaid funds. + Tracks and monitors applicable inpatient readmissions within sixty… more
    Spokane County (11/18/24)
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  • Sr. Specialist, Growth & Community Engagement…

    Molina Healthcare (Boston, MA)
    …goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid . Works collaboratively with key departments across the enterprise to ... rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Provides leadership for...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
    Molina Healthcare (11/10/24)
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  • Sr Business Solutions Consultant - QNXT SME…

    Molina Healthcare (KY)
    …and facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and ... and business communication. * Assimilates and documents business needs for project requests and benefit value documentation including high level requirements,… more
    Molina Healthcare (11/13/24)
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  • Community Connector (Southern NM Only) Field Based

    Molina Healthcare (Las Cruces, NM)
    …(EOE) M/F/ D /V. Star, Star Plus, Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, Public Health, Healthcare, Health Care, ... such as homeless shelters, etc.) + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically and/or… more
    Molina Healthcare (11/02/24)
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  • Medication and Pharmaceutical Policy Analyst

    American Institutes for Research (Rockville, MD)
    …manage tasks or activities, including associated teams and budgets (in collaboration with a Project Manager or Project Director). + Review and interpret ... AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will be...a minimum of 4 years of related experience or Pharm. D . Degree. + Extensive familiarity with CMS, the ACA,… more
    American Institutes for Research (11/16/24)
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  • Regulatory Analyst Sr - Remote

    Prime Therapeutics (Columbus, OH)
    …within Pharmacy Benefit Management (PBM) or health insurance + 2 years Medicare Part D , Medicaid , and/or federal regulatory experience + Must be eligible to work ... and participates in committee review meetings within the Commercial, Medicare, Medicaid , and Health Insurance Marketplace for the assigned department. This position… more
    Prime Therapeutics (10/30/24)
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  • Diversion Behavioral Health Coordinator

    Spokane County (Spokane, WA)
    …Integrated Behavioral Healthcare Quality Supervisor and the Integrated Behavioral Health Manager and other department leadership, and in alignment with the overall ... System for Award Management (SAM) systems, in any capacity for the Medicare, Medicaid , and all Federal healthcare programs. Selection Factors + Knowledge of relevant… more
    Spokane County (11/17/24)
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  • Epidemiologist - Vaccine Safety (Hybrid…

    Marshfield Clinic (Marshfield, WI)
    …2027 when competitive renewal is anticipated. The epidemiologist will function as a project manager , research collaborator, and key contact for VSD based ... assistance with study design, protocol development, grant writing and d ) ensuring compliance with IRB and privacy rules. The...research program. This individual will function as an effective project manager and key contact for multi-site… more
    Marshfield Clinic (11/20/24)
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  • IV&V Consultant

    Public Consulting Group (Albany, NY)
    … management and oversight on large-scale IT projects. * Support the IV&V Lead project manager * Manage communications with client, vendors, and project ... Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance * Perform IV&V tasks & develop IV&V reports * Provide… more
    Public Consulting Group (10/09/24)
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  • Senior Provider Engagement Specialist

    Molina Healthcare (Seattle, WA)
    …and VBC-related activities. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance for other specialists ... with and between other departments within the organization. + Evaluates project /program activities and results to identify opportunities for improvement. + Surfaces… more
    Molina Healthcare (10/27/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …state of MI_ _Quality Improvement RN will work in remote setting supporting Maternity Medicaid population. Connect with Medicaid members to ensure all gaps of ... Compliance + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...expertise is important to the activity. + Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (10/20/24)
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  • Community Connector (Snohomish County WA)

    Molina Healthcare (Lake Stevens, WA)
    …such as homeless shelters, etc.) + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically and/or ... face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate....way preferred Key Words: : Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, Public Health,… more
    Molina Healthcare (10/16/24)
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