• Medical Director - Kansas…

    Elevance Health (Topeka, KS)
    ** Medical Director - Kansas Medicaid ** **Location: This is a hybrid position. Candidates** **MUST** **live within 50 miles of an Elevance Health location.** ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.… more
    Elevance Health (11/02/24)
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  • Medical Director , Medicaid

    Highmark Health (Columbus, OH)
    …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
    Highmark Health (08/23/24)
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  • Medical Director - Florida…

    CVS Health (Tallahassee, FL)
    …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... Better Health of Florida primarily, and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the… more
    CVS Health (10/04/24)
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  • Medical Director - Oklahoma…

    CVS Health (Oklahoma City, OK)
    …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be a "Work from… more
    CVS Health (10/03/24)
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  • Medical Director - Behavioral Health…

    CVS Health (Austin, TX)
    …health care more personal, convenient and affordable. **Position Summary** The Behavioral Health Medical Director is a key position on Aetna Better Health of ... in market leadership and strategy meetings The Behavioral Health Medical Director will report to the Senior...and pediatric behavioral health conditions. - Experience with TX Medicaid behavioral health benefits and service. - Ability to… more
    CVS Health (08/27/24)
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  • Medical Director - Behavioral Health…

    CVS Health (Baton Rouge, LA)
    …Better Health of Louisiana is seeking a dedicated and experienced Behavioral Health Medical Director . The ideal candidate will be a board-certified psychiatrist ... of training in a medical specialty. The Behavioral Health Medical Director will ensure timely medical decisions, including after-hours consultation, and… more
    CVS Health (09/10/24)
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  • Associate Market Clinical Director

    ChenMed (St. Louis, MO)
    …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
    ChenMed (10/01/24)
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  • Medicaid Policy Director Eugene S.…

    University of Colorado (Aurora, CO)
    …2-3 days per week in office at the CU Anschutz Medical Campus. The https://apptrkr.com/get\_redirect.php?id=5742998&targetURL= Medicaid Policy Director Eugene ... ** Medicaid Policy Director Eugene S. Farley,...Jr. Health Policy Center** **Description** **University of Colorado Anschutz Medical Campus** **Department:** **School of Medicine | Department of… more
    University of Colorado (10/23/24)
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  • Director Medicaid - Remote

    Teva Pharmaceuticals (Parsippany, NJ)
    Director Medicaid - Remote Date: Oct 30, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we are** ... Units to develop market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts to ensure Teva… more
    Teva Pharmaceuticals (10/31/24)
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  • Medicaid Director

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Director Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4701596)  Medicaid Director Salary $149,864.00 - $212,908.80 Annually ... , who serves on Governor Reynolds' Cabinet, Iowa's State Medicaid Director is a key member of...Prioritize your well-being with our comprehensive health plans, including medical , dental, and vision coverage. Enjoy the peace of… more
    Iowa Department of Administrative Services (10/22/24)
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  • Legal Compliance Senior Director - Express…

    The Cigna Group (St. Louis, MO)
    **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... the organization to identify and mitigate compliance risks. The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial will serve as the… more
    The Cigna Group (10/21/24)
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  • Director , Medicaid Insurance…

    Humana (Columbus, OH)
    …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & Innovation** will ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (11/06/24)
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  • Lead Director , CFO Florida Medicaid

    CVS Health (Tallahassee, FL)
    …to make health care more personal, convenient and affordable. **Position Summary** The Lead Director , CFO Florida Medicaid Market role will function as the CFO ... for the Florida Medicaid Health Plan and will lead the respective markets'...constituent areas including Actuarial, Service Operations, Clinical, Network and Medical Economics to execute on growth and expense management… more
    CVS Health (10/29/24)
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  • Director of Program Integrity…

    Robert Half Legal (Alpharetta, GA)
    …professional to strengthen our team. This role will primarily focus on healthcare Medicaid HIPAA compliance. The Director of Program Integrity will be ... adherence to regulations and standards. * Demonstrate a strong understanding of Medicaid regulations and apply this knowledge in daily operations. * Maintain a… more
    Robert Half Legal (11/07/24)
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  • Lead Director , Network Management - North…

    CVS Health (Raleigh, NC)
    …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid /North Carolina is accountable for ... designing conceptual models, initiative planning, and negotiating Medicaid value based agreements with North Carolina providers, including health systems, clinically… more
    CVS Health (11/02/24)
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  • Medicaid Quality Management Director

    Elevance Health (Buffalo, NY)
    ** Medicaid Quality Management Director ** Location: This position will work a hybrid model (remote and office). The candidate must live within 50 miles of the ... expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. + Serves as a resource for the design and… more
    Elevance Health (10/25/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    NY HELP No Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade ... Excel, and comfort with videoconferencing.Preferred Skills/Experience:* Nursing administration (eg, Director of Nursing, Administrator, Risk Manager), including current or… more
    New York State Civil Service (10/02/24)
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  • Medicaid Manager for Third Party Liability…

    State of Maine, Bureau of Human Resources (Augusta, ME)
    …Linkedin Apply Department of Health and Human Services (DHHS)Asst. Div. Director Medicaid /Medicare ServicesOpening Date:October 31, 2024 Closing Date:November ... Medicaid Manager for Third Party Liability Unit Augusta...reports, PHIP reports and ad hoc reports to Associate Director , Division of Operations. * Creates and maintains databases… more
    State of Maine, Bureau of Human Resources (11/01/24)
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  • Medicaid Managed Care Liaison

    Abbott House (Bronx, NY)
    …+ Oversees all business functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational & ... Job Summary: The Medicaid Managed Care Liaison is the primary contact...Oversee and support program audits + Responsible for closed medical records + Arrange Single Case Agreements with out… more
    Abbott House (10/19/24)
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  • Project Manager - Medicaid

    Motion Recruitment Partners (Canton, MA)
    Project Manager - Medicaid Canton, Massachusetts **Open to Remote** Contract $65/hr - $65/hr Our client is looking for a contract Project Manager - Medicaid . ... in CST or EST. As the Project Manager - Medicaid , you will be the driving force behind the...organizational risk and maximize strategic opportunities. Reporting to the Director of the Corporate Program Management Office (CPMO), you… more
    Motion Recruitment Partners (09/19/24)
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