• Medicaid Care Manager

    Family and Children's Association (Mineola, NY)
    Medicaid Care Manager The Opportunity The Care Manager will provide support, linkage, and coordination of services to children and youth ages 5 to 21 ... case management services + Complete and submit all assessments, care plans, progress notes and any other written work...team meetings with providers and the family to maximize care . + Participate in all mandatory trainings and any… more
    Family and Children's Association (11/05/24)
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  • Mgr, Growth & Comm Engagement (Must reside…

    Molina Healthcare (Syracuse, NY)
    …Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Medicare, Medicaid , Managed Care , Manager , Leader, Marketing, Duals, Enroll, ... **Molina Healthcare is Hiring for a Manager of Growth & Community Engagement in Rochester,...health care related activities. + 3 years Managed- Care , Medicaid experience; knowledge of advertising requirements… more
    Molina Healthcare (10/31/24)
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  • Senior Manager , Reporting & Insights…

    CVS Health (Hartford, CT)
    care more personal, convenient and affordable. **Position Summary** The **Senior** ** Manager , Reporting & Insights - Network Medicaid Ops** will apply ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (11/12/24)
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  • Network Development and Contracting (Value Based…

    CVS Health (Tallahassee, FL)
    …personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... working in a highly matrixed environment. **Preferred Qualifications** + Experience in Medicaid Risk-based arrangements and Value-Based care + Proven negotiation… more
    CVS Health (11/07/24)
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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 - ... candidate resides in CST or EST. As the Project Manager - Medicaid , you will be the...+ Health Savings Account (HSA) + Health and Dependent Care Flexible Spending Accounts + Voluntary Life Insurance, Long-Term… more
    Motion Recruitment Partners (09/19/24)
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  • Sr Manager , Medicaid Auditing…

    CVS Health (Scottsdale, AZ)
    …follows a hybrid working model of three days onsite per week The Sr. Manager , Medicaid Compliance Monitoring will lead a team of compliance professionals to ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (11/07/24)
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  • Health Care Compliance Auditor

    UNIVERSAL Technologies, LLC (Albany, NY)
    …+ A minimum of 2 years of experience as a Healthcare Compliance Analyst, Auditor, Care Manager , or Medicaid Provider in a role responsible for conducting ... UNIVERSAL Technologies is seeking Health Care Compliance Auditor for a role based in...non-compliance. + Make appropriate and timely recommendations to lead/project manager . + Assist with internal and external reporting as… more
    UNIVERSAL Technologies, LLC (10/25/24)
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  • Medicaid Territory Marketing Manager

    Elevance Health (Topeka, KS)
    ** Medicaid Territory Marketing Manager ** **Location: Topeka KS, Kansas City KS** **Hours: M - F Standard Working Hours** **Travel:** **Hybrid (1-2 days onsite ... per week)** The ** Medicaid Territory Marketing Manager ** is responsible for...would provide an equivalent background. **Preferred Qualifications:** + Managed care experience preferred. Please be advised that Elevance Health… more
    Elevance Health (11/15/24)
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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 ... Number 25-01015 Agency 400 Health & Human Services - Medicaid Opening Date 10/21/2024 Closing Date 11/20/2024 11:59 PM...Team, responsible for the direct oversight of all managed care operations, program policy, major IT system enhancements, and… more
    Iowa Department of Administrative Services (10/22/24)
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  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long ... Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility… more
    City of New York (09/22/24)
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  • Case Manager RN - Medicaid Ltss (RN)…

    Molina Healthcare (Norfolk, VA)
    …VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to ... member's homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans… more
    Molina Healthcare (09/13/24)
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  • RN Case Manager - Medicaid

    Molina Healthcare (Christiansburg, VA)
    Manager RN will work in remote and field setting supporting our Medicaid Population. Complete assessments, create care plans, and provides educations to our ... This is a fast-paced position and productivity is important. Strongly preferred previous manage care experience. Must be licensed in the state of VA **(Up to 25%)… more
    Molina Healthcare (11/07/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    …and * Knowledge of state and federal rules and regulations related to health care , particularly the Medicaid program. Duties Description The Office of the New ... Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS Bargaining Unit… more
    New York State Civil Service (10/02/24)
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  • Senior Provider Network Contracting Manager

    CVS Health (Columbus, OH)
    …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Reviews, analyzes, negotiates,… more
    CVS Health (11/02/24)
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  • Director of Program Integrity Medicaid

    Robert Half Legal (Alpharetta, GA)
    Manager (CRCM) to enhance compliance processes. * Leverage expertise in Health Care Audits - Medicare - Medicaid to improve operations and compliance. * ... program and Medicaid application processes * Solid understanding of Health Care Audits, especially those involving Medicare and Medicaid * Proven experience… more
    Robert Half Legal (11/07/24)
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  • Sr Directors of Compliance Medicaid HIPAA…

    Robert Half Legal (Alpharetta, GA)
    …healthcare sector * Proficient in Medicaid Regulation, Medicaid Program, and Medicaid * Expertise in Health Care Audits, specifically with Medicare and ... industry. The hire will be responsible for maintaining compliance with Medicaid and HIPAA regulations and overseeing enterprise risk management processes. This… more
    Robert Half Legal (11/07/24)
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  • AR Finance Coordinator Medicaid

    St Croix Hospice (Oakdale, MN)
    AR Finance Coordinator Medicaid Job Details Job Location Administration - OAKDALE, MN Position Type Full Time Job Posting Date(s) Start Date 11/15/2024 Description ... The Accounts Receivable Medicaid Finance Coordinator is responsible for standard accounting clerical...accounts receivables, resubmitting bills to overdue accounts, and alerting manager of seriously overdue accounts. + Establishes and maintains… more
    St Croix Hospice (11/15/24)
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  • Integrated Care Operations Manager

    State of Massachusetts (Boston, MA)
    …individuals eligible for Medicare and Medicaid (dual eligibles). The Integrated Care Operations Manager , reporting to the Special Projects and Operations ... also supports the operationalization of policy and program initiatives for Integrated Care . The Integrated Care Operations Manager willassistin creating,… more
    State of Massachusetts (10/24/24)
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  • Medicaid Eligbility Specialist

    City of New York (New York, NY)
    …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...for Six (6) Eligibility Specialists II to function as Medicaid Eligibility Specialists, in various MAP Offices who will:… more
    City of New York (11/16/24)
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  • Medicaid Specialist - Billing

    Brookdale Senior Living (Milwaukee, WI)
    …reconciling resident accounts, submitting billing and researching denials and payments for Medicaid State payers including Managed Care Organizations (MCO's) for ... refunds. + Other duties as assigned based upon business need by manager /supervisor This job description represents an overview of the responsibilities for the… more
    Brookdale Senior Living (10/22/24)
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