- State of Minnesota (St. Paul, MN)
- …Commissioner for Medicaid Eligibility and Compliance** **Job Class: Human Servicers Manager 5** **Agency: Human Services Dept** + **Job ID** : 83382 + ... **Hiring Agency/Seniority Unit** : Human Services Dept / DHS Manager + **Division/Unit** : Health Care Administration / Assistant... of IT solutions and business integration for Minnesota's Medicaid and Basic Health Program . Ensure HCA… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Eligibility Program Manager - WEL Posting Begin Date: 2025/01/14 Posting End Date: 2025/01/26 Category: Program Management Sub Category: ... related to determining eligibility for individuals participating in the Medicaid Program . This includes working across ...with key stakeholders. If you have previously applied for Program Manager and wish to be considered… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva is ... Join us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva is a ... Join us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Prime Therapeutics (Columbus, OH)
- …years of comprehensive experience working with Rebate contracts, or within Medicare/ Medicaid (eg insurance, government program operations, managed care ... we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for contract… more
- Elevance Health (Winston Salem, NC)
- …and behavioral health care manager teams and the development, implementation , and coordination of a comprehensive clinical program designed specifically ... program operationswithin two of the six North Carolina Medicaid Regionsof the statewide CFSP Care Management model. This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Durham, NC)
- …and behavioral health care manager teams and the development, implementation , and coordination of a comprehensive clinical program designed specifically ... Care Management to lead the care management team in Medicaid Regions 4 and 6 in the state of...leadership of Care Management and Care Coordination programs and program operations within two of the six North Carolina… more
- CVS Health (Phoenix, AZ)
- …**Position Summary** This position will be the Product Owner (PO) for the Medicaid Claims intake products and initiatives. As product owner, this individual will ... vision and product roadmap and collaborate with the Product Manager to ensure the voice of customer is at...and communicate the long-term vision and strategy for the Medicaid EDI Gateway product within organization. + Align the… more
- Fallon Health (Worcester, MA)
- …Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is compliant with all quality ... Division of Medicaid (MassHealth) or Senior Care Options (Navicare). The Senior Program Manager takes the lead on documentation and reporting to internal and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …health system to attract, retain and develop diverse talent. The Health Equity Program Manager will contribute to achieving this vision through partnership with ... BIPOC, LGBTQIA+ and other underrepresented communities. The Health Equity Program Manager plays a leadership role in... will work with hospital leaders on the successful implementation of a portfolio of projects and initiatives to… more
- CareOregon (Portland, OR)
- Job Title Network Access and Adequacy Program Manager Requisition # 24774 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title ... Portland office 1-2 times per week. Job Summary The Network Access and Adequacy Program Manager oversees CareOregon's Network Access and Adequacy Program ,… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS...required to operate programs administered. Assists in the negotiation, implementation , and evaluation of departmental program contracts… more
- CVS Health (Lansing, MI)
- …requirements to develop recommendations, direction, and escalation to ensure Aetna's implementation of program requirements complies with federal and state ... position is located in the state of Michigan The Sr. Compliance Manager is an experienced/career level compliance position that applies compliance, regulatory,… more
- Mindoula Health (MD)
- …Reduction Program on-site at the hospital(s). This is an implementation -focused role, with an emphasis on relationship building with hospital staff and ... Additionally, managing the administrative/operational flow of participants into the program . Further, serves as case manager for...of benefits including, but not limited to, SSDI, SSI, Medicaid , Medicare, LTC Medicaid , LTC, STD, LTD,… more
- City of New York (New York, NY)
- Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. Applying ... Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of... areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management… more
- Point32Health (Canton, MA)
- …of the Director or Senior Manager of the department, the Compliance Program Manager III manages compliance programs, regulatory projects and initiatives with ... as well as sharp analytical skills. By using knowledge of the company, the Compliance Program Manager III should be able to resolve most roadblocks to ensure… more
- State of Minnesota (St. Paul, MN)
- …Title: Health, Recovery, and Programming Finance Director** **Job Class: State Program Administrator, Manager ** **Agency: Corrections Dept** + **Job ID** ... Status** : Classified + **Bargaining Unit/Union** : 220 - Manager /Unrep + **FLSA Status** : Exempt - Executive +...& Programming Finance Director, you'll provide le **adership in implementation and sustainability of Medicaid billing and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Program Compliance and Audits Manager ** **Job Class: State Program Administrator, Manager ** **Agency: Children Youth & Families Dept** + ... flexible hours options are available_ _. _ As the Program Compliance and Audits Manager , you will...you will be responsible for the oversight, development, management, implementation and direction of multiple compliance eligibility reviews or… more
- WellSense (Boston, MA)
- …$5000 sign on bonus upon acceptance of offer **Job Summary:** The Senior Contract Manager is responsible for the development, implementation and management of a ... Senior Contract Manager -$5000 sign on bonus** WellSense Health Plan is...implementation ; . Knowledge of federal and state Medicare, Medicaid , and relevant guidelines, regulations and standards; . Effective… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager , Compliance Delegation Oversight Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Senior Manager , Compliance Delegation Oversight is a solutions-oriented, strategic thinker with expertise… more
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