- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- New Directions Youth and Family Services (Lockport, NY)
- …actions and conduct concerning safety and healthy working conditions. POSITIONS SUPERVISED: LPN, RN, Medicaid Managed Care Liaison , Medicaid ... dedicated to ensuring the well-being of youth in our care . You'll oversee the delivery of health and psychiatric...manage a skilled team of healthcare professionals, and coordinate care in compliance with state and organizational standards. This… more
- City of New York (New York, NY)
- … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care … more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid… more
- OLV Human Services (Lackawanna, NY)
- …members to carry out the responsibilities within our Foster Care contracts and Medicaid Managed Care Plans assisting with any client and family needs ... Foster Care Coordinators of the contracted MMCPs ( Medicaid Managed Care Plans) in...**Essential Job Duties:** 1. Coordinate with the MMCP's foster care liaison /coordinator 2. Will attend all meetings… more
- Fallon Health (Worcester, MA)
- …Nursing preferred **Experience** * Minimum of 5 years' experience within a health care / managed care setting directing quality management or care ... to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the… more
- Wider Circle (Baltimore, MD)
- …in operations and management within a healthcare setting (health plan, managed care organization, etc.) + Volunteer experience + Medicaid experience a plus + ... to motivate and support each other to get the care they need when and where they need it....Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership… more
- AmeriHealth Caritas (Raleigh, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about...support the financial analysis processes for the North Carolina Medicaid Plan, ;and will act as a liaison… more
- AbbVie (North Chicago, IL)
- …DO, Pharm.D. or Ph.D. + Three (3) to five (5) years of experience in a Managed Care /PBM, VA/DoD, CMS, State Medicaid , health care consulting, ... & Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific… more
- Consulate Health Care (Arden, NC)
- …our services, leveraging partnerships and collaborating with local healthcare providers, Managed Care organizations, and other community entities. + **Admissions ... in business development, healthcare sales, or healthcare marketing. Experience with managed care /insurance and public/commercial payer sources preferred. +… more
- Nuvance Health (Danbury, CT)
- …Connecticut. Make independent nursing judgements. Computer data input/keyboard operations. Knowledge of managed care operations, Medicare and Medicaid and ... clinical data from patient charts for insurance company queries. Provides managed care forms and/or patient education tools in admission chart, as necessary.… more
- Allaire Rehab & Nursing (Edison, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ). + Provide assistance with ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
- VNS Health (Manhattan, NY)
- …preferred + Knowledge of the Community Medicaid process, including eligibility for managed long term care and the relevant coverage codes set by NYS ... Obtains and processes referrals to a network of contracted Managed Long Term Care (MLTC) plans. +...the time frame before they become eligible for community Medicaid . + Coordinates the effective date of community … more
- Centers for Independence (Milwaukee, WI)
- …experience. 3. Bi-lingual preferred 4. Understanding of long term care , disabilities, Medicaid , managed care and/or Medicare is desired. 5. A valid ... **Operations Liaison NC-iLIFE** **Job Details** **Job Location** iLIFE Main...Location** iLIFE Main - Milwaukee, WI **Description** The Operations Liaison will serve all functions of iLIFE operations in… more
- Boehringer Ingelheim (Ridgefield, CT)
- …knowledge of health care systems in the US, including managed care organizations, IDNs, PBMs, Medicare, and Medicaid . + Ability to use field-based ... area team leader. The Eye Health Director, Medical Science Liaison (MSL) will be member of the US medical...maximize results, leveraging the understanding of the changing health care landscape and organizational needs. As an employee of… more
- Grifols Shared Services North America, Inc (Fort Worth, TX)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial) Champion and manage the ... countries and regions. The role of the Patient Access Liaison (PAL) is to minimize Prolastin(R)-C Liquid access and...access and reimbursement barriers for Alpha-1 patients and health care providers . They will accomplish this by executing… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Job Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience ... use of best practices and standards. + Serves as liaison with regulatory and accrediting agencies and other health...leadership in managed care + Managed care experience, specifically Medicaid … more
- CVS Health (Kenner, LA)
- …care more personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of ... of those with a broad array of health care needs, our Medicaid plans have demonstrated...Medicaid , Medicare and Dual Eligible for its state-wide managed Medicaid business in the role of… more
- State of Colorado (CO)
- …and programs include both physical health and behavioral health and span the managed care continuum from fee-for-service to fully capitated risk programs. BHIC ... Number UHA 4748 - 3.2025 Department Department of Health Care Policy and Financing Division Medicaid &...Provides ongoing technical maintenance and support for benefit and managed care policies specific to the BHA.… more
- Providence (Everett, WA)
- …a case manager, access to education and resources, and frequency of home visits. Medicaid Fee-for-Service, Managed Medicaid , and dual Medicare- Medicaid ... and medical services. They will also serve as a liaison and patient advocate with the Department of Social...Home and Community Services case managers), other hospital staff, managed care organizations, transition of care… more