- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. Position Summary The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: Accountable for working with our strategic provider partners to… more
- State of Minnesota (St. Paul, MN)
- Working Title: Managed Care Contracting and Rates (MCCR) Director Job Class: Human Services Manager 4 Agency: Human Services Dept Job ID : 90577 Location : St. ... Date : 12/23/2025 Hiring Agency/Seniority Unit : Human Services Dept / DHS Manager Division/Unit : Health Care Administration / Managed Care Contracting and Rates… more
- Cleveland Clinic (Fort Lauderdale, FL)
- …years previous experience working with The Joint Commission, Healthcare Facilities Accreditation Program (HFAP), and Centers for Medicare and Medicaid (CMS) ... respected healthcare organizations in the world. As a Regional Manager of Accreditation and Regulatory, you will lead and...location uphold a robust and reliable accreditation and regulatory program . A caregiver in this position works 8:00am to… more
- Molina Healthcare (Omaha, NE)
- … program & contract design and implementation for marketplace, Medicaid and/or Medicare Experience in a complex healthcare delivery environment, specifically ... JOB DESCRIPTION Job Summary The Regional Manager Value Based Programs plays a critical role...or equivalent combination of education and experience Required Experience 4 + years managed care experience Experience participating in value-based… more
- Cayuse Holdings (Austin, TX)
- …Savings Plan with matching after one year Paid Time Off Reports to: Program Manager Working Conditions Professional on site office environment. Ability to ... that can work independently and as part of a team. Preferred Qualifications: 4 years' experience and knowledge with Texas Medicaid programs. 2 years'… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred 3 years of health care related billing… 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...Medicaid Systems or operations project management experience + 4 + Years of experience managing projects in their assigned… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 4 , 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... 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)
- **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing on ... Medicaid and compliance. This position is responsible for assisting the Business Office Manager in overseeing the daily operations of the business office,… more
- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for...internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting… 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
- State of Minnesota (St. Paul, MN)
- …Title: Managed Care Contracting and Rates (MCCR) Director** **Job Class: Human Services Manager 4 ** **Agency: Human Services Dept** + **Job ID** : 90577 ... : 12/23/2025 + **Hiring Agency/Seniority Unit** : Human Services Dept / DHS Manager + **Division/Unit** : Health Care Administration / Managed Care Contracting and… 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 ... Requirements: + Work Monday - Friday, 8:00 am - 4 :30 pm + Report to the Lucas Building in...Medicaid coverage and reimbursement + Develops and implements program goals, objectives, and performance standards related to policies… 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
- Penn Medicine (Lancaster, PA)
- …workweek. **Summary:** + Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans, implements and evaluates the ... the primary duties listed above: + In collaboration with the Nurse Manager , counsels employees and takes appropriate disciplinary action for infractions of policy.… more
- NTT America, Inc. (Baltimore, MD)
- …work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the CIO, they will actively lead the delivery of ... organization, apply now. We are currently seeking a APD Manager to join our team in Baltimore, Maryland (US-MD),...of software systems and services that support the Customer's Medicaid Program . The ideal candidate will possess… more
- State of Georgia (GA)
- NURSE MANAGER 2-Zone 4 Georgia (https://ga.referrals.selectminds.com/jobs/63836/other-jobs-matching/location-only) Healthcare ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/3198802/nurse- manager -2-zone- 4 ?page=2&pagetype=jobOpportunitiesJobs Applicants who do not apply using… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Strategic Systems Project Manager ** **Job Class: Management Analyst 4 ** **Agency: Human Services Dept** + **Job ID** : 90615 + **Location** : ... **FLSA Status** : Nonexempt + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes _This… 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...ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP strives to build programs and processes… more
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