• 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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  • Government Programs Project Associate…

    Banner Health (AZ)
    …to employment settings by including remote and hybrid opportunities. As a Government Project Programs Associate Advisor, you will call upon your ** Project ... You will work in a fast paced and multiple project environment. Throughout your day you will be doing...and disseminating information about new and updated Medicare and Medicaid requirements from CMS. You will also, attend meetings,… more
    Banner Health (11/14/24)
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  • Department Manager - Federal-State…

    The MITRE Corporation (New Windsor, MD)
    …decision-making at the department level . + Provide oversight and guidance for project budgets within D epartment . Stakeholder and partner engagement + ... no commercial conflicts to influence what we do. The R& D centers we operate for the government create lasting...(Health FFRDC)'s Health Coverage Division is seeking a Department Manager for Federal-State Partnerships to join our leadership team… more
    The MITRE Corporation (11/06/24)
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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 (08/16/24)
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  • (Registered Nurse, RN) Program Manager

    Molina Healthcare (KY)
    **_JOB TITLE: RN (REGISTERED NURSE) Program Manager : HCS, Clinical Program Design_** **_Program Specific Preferred skills:_** + _Experience with leading program ... but not limited to Duals, LTSS and non-LTSS_ + _Clinical model design for Medicaid , Medicare and Marketplace lines of business._ + _5+ years of clinical nursing… 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 (08/16/24)
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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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  • Program Manager , HCS California

    Molina Healthcare (Long Beach, CA)
    …for our CALIFORNIA health plan. California residents are preferred._** **_Good Project Management skills, excellent verbal and written communication skills as well ... years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3+ years of… more
    Molina Healthcare (11/09/24)
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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 (11/09/24)
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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 (NM)
    …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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  • 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 (11/09/24)
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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 (11/06/24)
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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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