- 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 ... an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to join our team in… more
- CVS Health (Frankfort, KY)
- …every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health ... resolve claims and other service issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, … more
- New York State Civil Service (Syracuse, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 2, 2026 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're on a ... people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid ... analyzes and documentation on assigned states/programs. Communicate to manager for key findings and changes to state programs.… more
- PruittHealth (Charlotte Hall, MD)
- …of all Medicaid documentation, including resident eligibility and financial status. 3 . Monitor and follow up on outstanding Medicaid cases and denials, ... **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
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure ... compact license + 5+ years of clinical experience + 3 years' experience in utilization management, prior authorization experience...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- 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 ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- CVS Health (Lansing, MI)
- …**Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
- State of Colorado (Pueblo, CO)
- Patient Financial Services Manager - Program Management II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5191516) Apply Patient ... Financial Services Manager - Program Management II Salary $95,892.00...supervisor for 10 staff members, including direct supervision of 3 individual units: Medicare/Other Insurance, Medicaid /Self- pay,… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single jurisdiction Medicaid ... profitability, growth, and stability of the business. The Sr Program Manager will have responsibility for business...deliver the overall strategic plan for a single jurisdiction Medicaid program . Through collaboration with matrix leaders… more
- Service Source (Oakton, VA)
- Lead the Way in Building Bright Futures! Join our team as an Assistant Program Manager and make a lasting impact on adults with disabilities. This is your chance ... requires a valid standard driver's license as well as 3 years of a clean driving record. ** Make...This position serves in an assistant capacity to the Program Manager . Serves in an acting capacity… more
- State of Indiana (Indianapolis, IN)
- Care Manager Date Posted: Dec 20, 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...this role are as follows: + Establish and monitor program objectives, KPIs, and actions to achieve them. +… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Jan 6, 2026 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care and… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00...administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Health, Department of Title Eligibility Program Manager 1 (NY HELPS) - 79342 Occupational Category Other Professional Careers Salary Grade 27 ... of Health employee with permanent or contingent permanent status as a Eligibility Program Manager 1, G-27). Permanent Transfer Candidates:New York State employee… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of ** Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid ... controls Maintain project documentation Escalate issues to Business Owner/ Program Manager / Leadership Promote cross-functional communication between...Life Insurance + 100% Company-Paid Mobile Phone Plan + 3 Weeks PTO + 7 Paid Holidays + Paid… more
- Cayuse Holdings (Austin, TX)
- …Savings Plan with matching after one year + Paid Time Off **Reports to: Program Manager ** **Working Conditions** + Professional office environment. + Ability to ... **Overview** **_JOB TITLE:_** Project Manager II **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC...Project Management by a recognized project management organization. + 3 Preferred Knowledge of Texas Medicaid programs.… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Overview We are seeking a highly strategic and results-oriented Program Manager to lead the coordination and execution of our AI ... + Minimum of 7 years of experience in technical program management, with at least 3 years...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- State of Colorado (Denver, CO)
- …Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program ), Child Health Plan Plus (CHP+), and other state public ... Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 01/08/2026 Closing Date 1/16/2026...to the duties of this position + At least 3 years of professional experience as a manager… more
- AmeriHealth Caritas (Washington, DC)
- …or equivalent education and business experience. + Master's Degree preferred. + 2 to 3 years Medicaid and/or Medicare experience preferred. + 1 to 3 ... **Responsibilities:** Responsible for managing the day-to-day activities of the DC Medicaid Plan Network Management department and staff. Responsible for assisting… more
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