• Pharmacy Medicaid Manager (Hybrid)

    CareFirst (Owings Mills, MD)
    …general direction of the Director of Government Programs Pharmacy Services. The Medicaid Pharmacy Manager is also responsible for providing clinical expertise ... This role is responsible for managing day-to-day pharmacy operations for the **Maryland Medicaid plan** , providing guidance to and oversight of pharmacy staff, and… more
    CareFirst (12/21/24)
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  • Medicaid Program Manager 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4782730) Apply  Medicaid Program Manager 2 Salary ... Function of Work: To administer medium size and moderately complex statewide Medicaid program(s). Level of Work: Manager . Supervision Received: Broad from… more
    Louisiana Department of State Civil Service (01/09/25)
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  • Medicaid Program Manager 3

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Medicaid Program Manager 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780870) Apply  Medicaid Program Manager 3 Salary ... of Work: Department of Health and Hospitals. Job Distinctions: Differs from Medicaid Program Manager 2 by responsibility for directing large and highly complex … more
    Louisiana Department of State Civil Service (01/08/25)
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  • Medicaid Program Manager 3

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    MEDICAID PROGRAM MANAGER 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780454) Apply  MEDICAID PROGRAM MANAGER 3 Salary ... of Work: Department of Health and Hospitals. Job Distinctions: Differs from Medicaid Program Manager 2 by responsibility for directing large and highly complex … more
    Louisiana Department of State Civil Service (01/08/25)
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  • Medicaid Care Manager

    Family and Children's Association (Mineola, NY)
    Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages 5 to 21 years ... of age who are diagnosed with a serious emotional disturbance, chronic condition or complex trauma. Responsibilities + Provide case management services + Complete and submit all assessments, care plans, progress notes and any other written work in compliance… more
    Family and Children's Association (11/05/24)
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  • Medicaid Program Manager

    Staffing Solutions Organization (Albany, NY)
    …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager -** **Bureau of Process and Product Management in Albany, ... NY** **Item 1168** This position is in the Bureau of Process and Product Management within the Division of Data Service and Analytics. **Summary** This position is in the Bureau of Process and Product Management within the Division of Data Systems, Solutions… more
    Staffing Solutions Organization (01/03/25)
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  • Senior Manager , Medicaid Value…

    CVS Health (Tallahassee, FL)
    …make health care more personal, convenient and affordable. **Position Summary** The Sr. Manager Medicaid Value Based Care (VBC) FL manages and oversees ... compliance with our Network responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for working with our… more
    CVS Health (12/19/24)
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  • Sr Manager , Medicaid Auditing…

    CVS Health (Scottsdale, AZ)
    …follows a hybrid working model of three days onsite per week The Sr. Manager , Medicaid Compliance Monitoring will lead a team of compliance professionals to ... develop and execute a comprehensive audit and/or monitoring plan within our Medicaid line of business that enhances enterprise value and is executed in accordance… more
    CVS Health (01/08/25)
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  • Medicaid Special Programs Case…

    CDPHP (Albany, NY)
    …these values and invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for ... of quality, clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager ...the Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating requests for… more
    CDPHP (12/12/24)
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  • Manager , Medicaid Risk Adjustment

    CVS Health (Columbus, OH)
    …Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the Market Manager will work closely with cross-functional ... leadership across the Medicaid business to establish and champion a local market...of opportunity. + Produce and present dashboards specific to Medicaid Revenue Integrity efforts at various governance, market, and… more
    CVS Health (01/04/25)
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  • Medicaid Analyst Supervisor

    Louisiana Department of State Civil Service (Monroe, LA)
    …WORK: Supervisor. SUPERVISION RECEIVED: Medicaid Analysts typically report to a Medicaid Area Manager . May receive supervision from higher level personnel. ... Analyst 3 by the presence of direct supervisory responsibilities. Differs from Medicaid Area Manager by the absence of managerial responsibilities. Examples of… more
    Louisiana Department of State Civil Service (01/09/25)
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  • RN Case Manager - Medicaid

    Molina Healthcare (Blacksburg, VA)
    **JOB DESCRIPTION** Case Manager RN will work in remote and field setting supporting our Medicaid Population. Complete assessments, create care plans, and ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
    Molina Healthcare (11/07/24)
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  • Manager , Actuarial Services…

    Healthfirst (NY)
    **Scope of Responsibilities:** + Monitor experience for Healthfirst's Medicaid lines of business. + Analyze and interpret impacts of premium rate changes and other ... and other trends underlying the financial performance of the Medicaid lines of business. + Research, evaluate, and analyze...lines of business. + Research, evaluate, and analyze the Medicaid market landscape to support strategic planning for the… more
    Healthfirst (01/02/25)
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  • Behavioral Health Case Manager - Richmond

    Molina Healthcare (Mechanicsville, VA)
    … will work in remote and field setting supporting our SMI (Severe Mental Illness) Medicaid Population. Case Manager will be required to physically go to member's ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager more
    Molina Healthcare (11/07/24)
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  • Behavioral Health Case Manager RN

    Molina Healthcare (Midlothian, VA)
    …will work in remote and field setting supporting our SMI (Severe Mental Illness) Medicaid Population. Case Manager will be required to physically go to member's ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
    Molina Healthcare (11/06/24)
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  • Federal Audits and Investigations Supervisor…

    State of Minnesota (St. Paul, MN)
    …practices. + Lead other activities and projects as assigned by the Medicaid Program Integrity Manager , Program Integrity Oversight Division. **Minimum ... federal and state oversight and regulatory agencies to assure the State Medicaid Agency's compliance with rules and regulations, protecting public funds, meeting… more
    State of Minnesota (12/28/24)
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  • Mgr, Growth & Comm Engagement (Must reside…

    Molina Healthcare (Syracuse, NY)
    …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Medicare, Medicaid , Managed Care, Manager , Leader, Marketing, Duals, Enroll, Enrollees, ... **Molina Healthcare is Hiring for a Manager of Growth & Community Engagement in Rochester,...management and leads. This position is primarily in the Medicaid space, however, will cross over to Marketplace and… more
    Molina Healthcare (10/31/24)
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  • RN Case Manager LTSS

    Molina Healthcare (Arlington, VA)
    …VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to ... services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
    Molina Healthcare (12/20/24)
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  • State Plan and Compliance Manager - Human…

    State of Minnesota (St. Paul, MN)
    …resources, and training and development opportunities. This position serves as Medicaid state plan and compliance manager , directing high-visibility functions ... **Working Title: State Plan and Compliance Manager ** **Job Class: Human Services Manager ...Minnesota Legislature, and the federal Centers for Medicare & Medicaid Services (CMS). Primary responsibilities include providing DHS management… more
    State of Minnesota (01/01/25)
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  • Care Connection/CM Specialist

    LIFEPlan CCO NY (Utica, NY)
    …people with intellectual or developmental disabilities. + Related experience, specifically as a Medicaid Service Coordination or Care Manager is preferred + Must ... $27.82 Hourly Description Job Summary The Care Connection Specialist/Care Manager , as a member of the Care Connection team,...entities during intake process and thereafter; 5. Assists with Medicaid application, if the person does not already have… more
    LIFEPlan CCO NY (01/07/25)
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