- Stanford Health Care (Palo Alto, CA)
- …Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, and programs ... to, HIPAA, Anti-Kickback Statute, EMTALA, the Stark Law, and Medicare and Medicaid program requirements. + Knowledge of general computer applications, such… more
- Katmai (Usaf Academy, CO)
- …three (3) years of documented medical or surgical experience and at least one ( 1 ) year experience in Case Management. + Possess a current, active, full, and ... worker license in good standing. + Extensive knowledge of TRICARE, Medicare/ Medicaid services and benefits is mandatory. + Knowledge of professional care… more
- Commonwealth Care Alliance (Boston, MA)
- …based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program , ... training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of audits -...to handle multiple projects. - Strong understanding of Medicare, Medicaid , duals program , and health plan operations,… more
- Novo Nordisk Inc. (Buffalo, NY)
- …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
- Novo Nordisk Inc. (Salinas, CA)
- …co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …independent judgment. Communicates technical or general information to their manager , director, & medical staff. Participate in administrative activities. Provides ... functional supervision to support staff. **Minimum Qualifications/Work Experience:** + Minimum 1 year of post-baccalaureate clinical training as a Clinical Lab… more
- Moses/Weitzman Health System (Middletown, CT)
- …+ Organizes work load to achieve a high level of productivity + Notifies Manager of information that negatively impacts production + Assist with special projects as ... needed **QUALIFICATIONS** + One of the following must be met: 1 ) Associates degree in Health Information Management Systems (or related field) with 1 + years'… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …and public benefits identification and applications. Under the supervision of the Program Manager , this position is responsible for providing comprehensive case ... That Matters.** **Overview** **Schedule:** Day shift - 4 days onsite, 1 day remote (after probationary period) **Purpose Statement/Position Summary:** The Center… more
- Insight Global (Eden Prairie, MN)
- … Pharmacy initiatives or similar projects. Prior experience specifically with the Georgia Medicaid Program is necessary in order to be successful on this ... pharmacy initiatives or similar projects. -Familiarity with the Georgia Medicaid program , Pharmacoeconomics, and the integration points between vendors.… more
- NTT DATA North America (Montgomery, AL)
- …The Project Manager will work under the direct leadership of the PMO Program Manager . + Primary point of contact for vendor/cohort + Responsible for the ... forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to...Assist with the development, maintenance, and execution of the Program Management Plan and Integrated Project Plans + Monitor… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- PruittHealth (Charlotte Hall, MD)
- …and a commitment to providing exceptional service to residents and their families. 1 . Prepare and submit Medicaid applications in a timely manner, ensuring ... **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting...This position is responsible for assisting the Business Office Manager in overseeing the daily operations of the business… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for the ... LinkedIn. **Brief summary of purpose:** Under the direction of the Manager 's, the Eligibility and Revenue Operations Representative supports Fallon Health's mission,… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medical Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5158079) Apply Medical Policy Program Manager Salary ... Medicaid coverage and reimbursement + Develops and implements program goals, objectives, and performance standards related to policies...two and a half years as a Management Analyst 1 . For additional information, please click on thislink to… more
- Service Source (Springfield, VA)
- …change, and strengthen communities . Join Our Team! ServiceSource is proudly hiring a Program Manager to oversee the daily services of our Oakton, VA Community ... and 401(a) options. + Upward Mobility: Established promotion opportunities and clear career pathways ({ Program Manager >> Sr. Program Manager / Division … more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Project Manager 1 Occupational Category Other Professional Careers Salary Grade 18 ... Enterprise Project Management Office (EPMO) is seeking a Project Manager 1 to assist with complex projects...the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may… more
- Mindoula Health (VA)
- …require. The section on Essential Functions is split into ( 1 ) Program Coordination-specific functions and (2) Case Manager -specific functions. Location This ... Additionally, managing the administrative/operational flow of participants into the program . Further, serves as case manager for...of benefits including, but not limited to, SSDI, SSI, Medicaid , Medicare, LTC Medicaid , LTC, STD, LTD,… more
- State of Indiana (Indianapolis, IN)
- Care Manager Date Posted: Nov 21, 2025 Requisition ID: 468565 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within...budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs… more
- Access Dubuque (Dubuque, IA)
- Risk Management and Accreditation Program Manager **UnityPoint Health Finley Hospital** 1 Positions ID: 46473897 Posted On 11/25/2025 **Job Overview** + ... Friday, days, for 80 hours per pay period The **Risk Management and Accreditation Program Manager ** serves as a highly visible champion of regulatory compliance… more
- Elevance Health (Mason, OH)
- ** Program Manager Long Term Care - Self-Direction Program - OH** **_Location:_** _ This role requires associates to be in-office_ **_1 - 2 days per week_** ... be considered for employment, unless an accommodation is granted as required by law._ The ** Program Manager Long Term Care - Self-Direction Program - OH** is… more
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