- Marion County (Salem, OR)
- …in ECOS.Coordinate discharge planning with NorthWest Seniors and Disability Services (NWSDS) Case Manager (CM) and program . Identify MH needs to be addressed at ... relocating from outside of Oregon, we provide the following relocation package:Up to $ 3 ,000 reimbursement of moving expensesRelocation bonus in the amount of $ 3… more
- Idaho Division of Human Resources (ID)
- Program Manager Medicaid Posting...and managed care. Typically gained by at least three ( 3 ) years of senior level management experience related to ... quality? The Bureau of Population Health in the Division of Medicaid is seeking a program manager to manage value-based initiatives including the Healthy… more
- CVS Health (Tampa, FL)
- …business operations, processes and policies in accordance with state specific Medicaid program requirements + Maintain positive, productive relationships with ... remote Experienced/career level compliance position that supports the compliance program activities and deliverables of a Medicaid ...or higher education with 5+ years of experience + 3 + years of Medicaid experience + … more
- CVS Health (Austin, TX)
- …be a remote position preferred hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid ... Operations, Provider Relations or Network operations.- 1+ years of experience in Medicaid and/or Medicare provider operations.- 2+ year of experience with ensuring… more
- CVS Health (Lansing, MI)
- …personal, convenient and affordable. Position Summary + Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid ... performance issues or concerns. Required Qualifications + Minimum of 3 years recent and related experience in Provider Operations,...or Network operations. + 1+ years of experience in Medicaid and/or Medicare provider operations. + At least 1… more
- Molina Healthcare (Glen Allen, VA)
- … Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone with strong leadership and experience ... + years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3 +… more
- State of Indiana (Indianapolis, IN)
- …with other agencies/divisions, and consistently implement a unified vision for the Medicaid program . Must be collaborative and build relationships. + Ability ... is fully engaged with this mission. Role Overview: In this role, Medicaid /Medicare Coordination Manager , you will establish priorities, targets, and deadlines… more
- Humana (Indianapolis, IN)
- …us put health first** Humana Healthy Horizons in Indiana is seeking a Manager , Care Coordination to lead teams of nurses and behavior health professionals ... responsible for care management. The Manager , Care Coordination works within specific guidelines and procedures,...up to 50-75% travel based on staff needs.** + 3 + years of professional experience in Case Management, delivery… more
- CVS Health (Hartford, CT)
- …Summary This role on the NSPE Value Based Analytics team supports Aetna's Medicaid segment. Join this fast-paced team that works closely together to promote the ... development and growth of value based contracts across Aetna's 16 Medicaid plans. Responsibilities may include: Querying and analysis of complex provider claim,… more
- City of New York (New York, NY)
- …WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... the Assisted Living Program , Care at Home Program and Homebound Medicaid . The Medicaid...duties, housing office teller duties, purchasing agent, assistant store manager , sales representative responsible for accounts, or customer service… more
- CVS Health (Houston, TX)
- …dedicated to helping you achieve your career goals. In this Texas Medicaid individual contributor role the contract negotiator: + Negotiates competitive contracts ... (Dallas/Ft Worth, Houston, Austin and San Antonio) Required Qualifications + 3 + years of experience negotiating contracts with ancillary providers, physician groups,… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... enrolling in Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public health insurance programs… more
- CVS Health (Houston, TX)
- …Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
- Sutherland Global Services (Torrance, CA)
- …+ Minimum 3 - 5 years strong experience with California Medicaid (Medi-Cal) In-patient billing and collection guidelines + Experience in supporting Self Pay ... accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management… more
- CVS Health (Princeton, NJ)
- …provider and hospital locations within New Jersey assigned territory + Minimum 3 + years' experience in business segment environment servicing providers with exposure ... to benefits and/or contract interpretation. + Minimum 3 + years' experience with business segment specific policy, benefits, plan design and language + Medicaid … more
- City of New York (New York, NY)
- …Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families are ... services at little or no cost. The Medical Assistance Program (MAP) is recruiting for Seven (7) Eligibility Specialists...for Seven (7) Eligibility Specialists II to function as Medicaid Eligibility Specialists, in various MAP Offices: - Conduct… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... by providing information, including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen calls and perform a… more
- University of Rochester (Rochester, NY)
- …and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements. ... decisions independently. Seeks assistance from Senior FCM, Operations Supervisor, Operations Manager or Department Manager . Responsible to prioritize, monitor… more
- Lakeview Health Services (Geneva, NY)
- …their lives? Join our Team! EMPLOYMENT OPPORTUNITY Title : Non- Medicaid Case Manager , Ontario Co Job Requisition No.: 1676 Program : CSS, Geneva, NY ... per hr. based on education & experience Benefits + 3 + weeks of Personal Time Off (PTO), first year...Functions Overview With the general oversight of the CSS Program Manager , works from a trauma informed… more
- Humana (Lafayette, IN)
- …first** The Nutritionist (Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and regulate patients' ... to the Contractor's care teams. + Partner with Dental Manager . **Use your skills to make an impact** **Required...in Long-Term Services and Supports (LTSS) or with the program population and experience with gastric tube feeding, weight… more
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