- Prime Therapeutics (Frankfort, KY)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- RELX INC (Annapolis, MD)
- …The candidate will possess prior work history in senior roles across CMS or Medicaid programs as well as thought leadership experience across the federal ... essential partner in the assessment of risk. Within our Government vertical, our solutions assist government agencies...in the Baltimore/ Washington DC area as well as state Medicaid offices up to 50% of… more
- State of Georgia (Fulton County, GA)
- …representation of the highest quality to the agencies, officers and employees of state government and by honorably and vigorously carrying out the constitutional ... Division. The Assistant Attorney General position will represent the State of Georgia in criminal prosecutions related to fraud...criminal prosecutions related to fraud committed against the Georgia Medicaid program . The Medicaid Fraud… more
- State of Georgia (Fulton County, GA)
- …team to investigate allegations of fraud against the Georgia Medicaid program ; 2. Contribute to joint federal- state investigations including the possible ... Assistant Attorney General 1 - Medicaid Fraud -Civil Georgia - Fulton - Atlanta...highest quality to the agencies, officers and employees of state government and by honorably and vigorously… more
- CareFirst (Baltimore, MD)
- …performance under the Medicaid contract and regulatory requirements and the overall state of compliance for Medicaid and Medicaid products. Reporting to ... to the law that may impact training and education and require updates to Medicaid Compliance training programs . + Directs all activities related to contractual… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …programs . Communicate to manager for key findings and changes to state programs . + Provide backup for Medicaid team members in any necessary functions and ... includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Job Family:** Software Engineering **Skills:** Medicaid , Medicaid Claims, Medicaid Management Information System (MMIS), Medicaid Programs ... growing team and contribute to the success of large-scale Medicaid programs . **Job Summary** The Technical Professional...and services. + Previous experience in a healthcare or government services environment at the state and… more
- MyFlorida (Tallahassee, FL)
- …(https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: MEDICAID ... responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program , processing cost plan amendment requests for… more
- State of Georgia (Fulton County, GA)
- …policies & procedures; (2) state laws and rules governing the Georgia Medicaid program ; and (3) criminal laws and other enforcement processes relating to ... representation of the highest quality to the agencies, officers, and employees of state government and by honorably and vigorously carrying out the… more
- HCA Healthcare (Sanford, FL)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... join an organization that invests in you as a Medicaid Eligibility Advocate - DUP? At HCA Florida Lake...HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the… more
- HCA Healthcare (Georgetown, KY)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Advocate today with Parallon at GEORGETOWN COMMUNITY HOSPITAL. **Benefits**… more
- HCA Healthcare (Gallatin, TN)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate with Parallon at Sumner Regional Medical Center… more
- Highmark Health (Pittsburgh, PA)
- …health engagement team activities through case management, disease management, and programs targeted at behavioral health, pharmacy, wellness and social work ... seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and...is responsible for maximizing and optimizing value of the programs through delivery and as such, is accountable for… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... and verbal. Builds Relationships/contributes to team performance Adhere to all DOI, State , and Federal guidelines **_Pay Range Disclosure:_** _In accordance with the… more
- CenterWell (Santa Fe, NM)
- …scope, document scope changes and impacts to timeline + Adhere to client / government established deadlines + Navigate client and vendor layers to ensure that all ... if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment… more
- Banner Health (AZ)
- …healthcare policy. Monitors and reports on association activities and emerging trends in state Medicaid programs . 5. Internal Communications and Reporting: ... through seven years of related experience. Must have knowledge of Arizona state government , legislative processes, and Medicaid /managed care regulatory… more
- MyFlorida (Tallahassee, FL)
- … Quality provides data-driven, focused and systematic feedback on the quality of Florida's Medicaid program to federal and state agencies, Medicaid ... GOVERNMENT ANALYST II Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more...entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of… more
- MyFlorida (Fort Lauderdale, FL)
- …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... cost-effective, transparent, and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access to… more
- Commonwealth Care Alliance (Boston, MA)
- 011110 CCA-Public Affairs **Position Summary:** The Director of State Government Affairs ("Director") sits within The Government Affairs team and reports to ... of CCA's membership. + Knowledge of inner workings of the Massachusetts state government , policymaking, and budgetary processes. + Excellent collaboration,… more
- Boehringer Ingelheim (Ridgefield, CT)
- …week on-site.** **Duties & Responsibilities** + Responsible for ensuring compliance in Medicaid rebate and Federal pricing programs . Maintain policies and ... of the quarterly pricing submissions for BIPI with all State and Federal Programs (AMP, ASP, BP,...Responsible for the monitoring of Sales Discounts for all Government rebate programs . Provide treasury with monthly… more