• Medicaid Project Manager - PMP…

    NTT DATA North America (Montgomery, AL)
    …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to join our team in ... organization, apply now. We are currently seeking a Project Manager to join our team in Montgomery Alabama. This...within the cohort project team, working closely with direct business partners and vendor teams. He/she will actively participate… more
    NTT DATA North America (12/05/25)
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  • Manager , VBC Analytics, Medicaid

    CVS Health (Hartford, CT)
    …and every day. **Position Summary** Aetna is recruiting for a Manger on the Medicaid VBC Analytics team to support VBC partnerships throughout Aetna's Medicaid ... with Network, health plan and VBC strategy customers as well as multiple business areas and other team members to promote the development, growth and… more
    CVS Health (12/17/25)
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  • Manager , Medical Economics…

    Molina Healthcare (ID)
    **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...cost trends. With those root causes identified, drives improvement change by recommending actionable initiatives to C-level Suite executives… more
    Molina Healthcare (11/09/25)
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  • Georgia Medicaid Clinical Account…

    Prime Therapeutics (Trenton, NJ)
    …pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
    Prime Therapeutics (12/18/25)
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  • Medicaid Waiver Supervisor

    MyFlorida (West Palm Beach, FL)
    MEDICAID WAIVER SUPERVISOR - 67013921 Date: Dec 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 866900 Agency: Agency for Persons with Disabilities Working Title: MEDICAID WAIVER SUPERVISOR - 67013921 Pay Plan: SES Position Number: 67013921… more
    MyFlorida (12/16/25)
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  • Medicaid Contract Implementation Management…

    Elevance Health (Indianapolis, IN)
    ** Medicaid Contract Implementation Management Director** **Location** : Indianapolis, IN **Hybrid 2:** This role requires associates to be in-office 3 days per week, ... unless an accommodation is granted as required by law._ The ** Medicaid Contract Implementation Management Director** is responsible for managing Medicaid more
    Elevance Health (12/19/25)
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  • Medicaid Senior BA

    NTT DATA North America (Montgomery, AL)
    …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... organization, apply now. We are currently seeking a Senior Business Analyst to join our team in Montgomery Alabama....cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support… more
    NTT DATA North America (12/11/25)
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  • Medicaid Appeals & Grievance Associate…

    CVS Health (Frankfort, KY)
    …contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals, complaints and ... -Holds individuals/team accountable for results; recognize/reward as appropriate. -Lead change efforts while managing transitions within a team. -Identifies trends… more
    CVS Health (12/17/25)
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  • Eligibility & Revenue Operations…

    Fallon Health (Worcester, MA)
    …are essential along with taking accountability and understanding job functions can change based upon business needs. Initiates self-development via available ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
    Fallon Health (11/18/25)
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  • Senior Manager , Compliance Program

    Point32Health (Canton, MA)
    …we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Senior Manager , Compliance Program will manage the day-to-day operations of the ... projects, and personnel necessary to ensure compliance with Medicare, Commercial and Medicaid laws and regulations and governing contracts with the Centers for… more
    Point32Health (12/23/25)
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  • Health Payer Business Analyst, Senior…

    Cognizant (Baton Rouge, LA)
    **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... leading teams, and delivering contextual solutions that address complex business challenges. You will be a valued member of...accurate as of the date of posting. This may change based on the project you're engaged in, as… more
    Cognizant (12/02/25)
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  • Manager , Risk Adjustment Operations…

    Point32Health (Canton, MA)
    …The Manager will support department leadership by collaborating across business divisions and functions to coordinate the development and refinement of financial ... complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on strong analytic, consultative and communication skills to… more
    Point32Health (12/25/25)
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  • Medical Business Office Manager

    Northwest Florida Community Hospital (Chipley, FL)
    Business Office Manager - Patient Financial Services Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a FT experienced, energetic and ... dedicated Medical Business Office Manager to provide exceptional care...understanding of the various payment methodologies from Medicare and Medicaid is critical. + Promptly audit remittance advices to… more
    Northwest Florida Community Hospital (12/16/25)
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  • Project Manager II

    Cayuse Holdings (Austin, TX)
    …Required Demonstrated ability to meet tight deadlines. + 7 Required Experience with Medicaid business operations. + 7 Required Experience overseeing the planning ... **Overview** **_JOB TITLE:_** Project Manager II **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC...transition and vendor management. + 7 Required Experience with Medicaid Enterprise Systems, including Medicaid Management Information… more
    Cayuse Holdings (09/30/25)
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  • System Manager Revenue Cycle (Medicare…

    Houston Methodist (Katy, TX)
    At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... write-offs, staff productivity and work quality and credit balances. The manager position responsibilities include managing the daily work activities of the… more
    Houston Methodist (11/12/25)
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  • Data Manager

    Humana (Raleigh, NC)
    …of our caring community and help us put health first** The Data Manager 2 supports implementation of government and industry policies for requirements management, ... document management, change management, production and delivery, and configuration management of...and timeliness of the data for its users. Data Manager 2 develops and executes architectures, policies, data equity… more
    Humana (12/24/25)
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  • Senior Claims Business Analyst

    NTT America, Inc. (Little Rock, AR)
    …for a state Medicaid program. Under the guidance of the team manager , they will contribute to the execution of key tasks, activities, and deliverables. This ... project team processes and standards. * Analyze and document business , technical, and user requirements related to Medicaid...or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an… more
    NTT America, Inc. (11/16/25)
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  • Assistant Nurse Manager (ANM), Women…

    Penn Medicine (Lancaster, PA)
    …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans,...A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,… more
    Penn Medicine (12/16/25)
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  • Assistant Nurse Manager Observation Unit…

    Penn Medicine (Lancaster, PA)
    …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... and critical thinking skills as a patient's condition can change quickly. **Position Summary:** + Under the direction of...**Position Summary:** + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans,… more
    Penn Medicine (12/06/25)
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  • Hospital Coordinator & Case Manager

    Mindoula Health (VA)
    …administrative/operational flow of participants into the program. Further, serves as case manager for clients with mental illness and/or substance use disorders as ... split into (1) Program Coordination-specific functions and (2) Case Manager -specific functions. Location This is a hybrid position, where...of benefits including, but not limited to, SSDI, SSI, Medicaid , Medicare, LTC Medicaid , LTC, STD, LTD,… more
    Mindoula Health (11/26/25)
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