- 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
- Humana (Baton Rouge, LA)
- …communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial ... hospital, LTAC, Acute rehab, SNF) according to the Humana Medicaid Model of Care . *Participate in Quality...with various providers and ancillary providers. *Serve as clinical liaison with inpatient facilities and joint operating committees to… more
- CVS Health (Richmond, VA)
- …timeframes as necessary to meet deadlines - 7+ years of experience leading and driving Medicaid managed care proposals. - Capture management experience in ... plan reprocurement, and RFx proposal development. Works as a liaison between the Business Development and Proposal Development teams....Medicaid managed care proposals. - Strong written and… more
- Elderwood (Waverly, NY)
- …the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm... liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... liaison between CCA and its providers including primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS...**Experience (Desired)** + Medicare/ Medicaid experience preferred. + Experience with CPT coding and… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Molina Healthcare (MI)
- …**Required Experience:** + 3-5 years' experience in healthcare industry, preferably in the Medicaid Managed Care Programs + Previous healthcare marketing ... Molina Healthcare of Michigan is hiring a Tribal Liaison . Candidates must reside in Michigan. There will...locality with reliable transportation. **Preferred Experience:** Experience in the Medicaid Managed Care Programs Experience… more
- Allaire Rehab & Nursing (Freehold, 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
- Somatus (Falls Church, VA)
- …including Group Health Plans (GHPs), Medicare, Medicaid , and managed care plans. Serve as a liaison between patients, insurance companies, and the ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to… more
- Erickson Living (Springfield, VA)
- …and bonuses in a timely manner. + Maintain current knowledge of Medicare and Medicaid coverage changes, Managed Care information, and other relevant topics ... Health Care Sales Associate, Move-In Coordinator, Acute Care Coordinator, Marketing Liaison , and Clinical ...management, and patients/families in crisis. + Understanding of Medicare, Medicaid and insurance benefits in long-term care … more
- Catholic Health Services (Rockville Centre, NY)
- …managed care organizations. + Negotiate and manage payer contracts (Medicare, Medicaid , managed care , bundled payments). + Use operational and ... Overview The VP of Post-Acute Care - Skilled Nursing Facilities is a senior executive...Deliver annual operating margins. + Optimize Medicare PDP and Medicaid case-mix index (CMI). + Reduce bad debt and… more
- Healthfirst (NY)
- …healthcare coverage for Medicaid .** + **Contact Senior Health Partners or Complete Care members two months prior to Medicaid expiration date.** + **Conduct ... Care Management Teams, Sales Teams and Nurses for Medicaid and Medicare savings Programs eligibility.** + **Keep up...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- Centene Corporation (Indianapolis, IN)
- …access to competitive benefits including a fresh perspective on workplace flexibility. **Indiana Medicaid and Managed Care ** **Must be authorized to work ... business and protected health information. + Acts as a liaison and member advocate between the member/family, physician and...work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience… more
- Stony Brook University (Stony Brook, NY)
- …all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for services. ... medical supplies and equipment. + Serves as an office liaison to outside nurses for patients on home telemonitoring....Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in… more
- State of Colorado (CO)
- …Full Time Job Number UHA 4894 - 12.2025 Department Department of Health Care Policy and Financing Division Health Information Office Opening Date 12/22/2025 Closing ... do, including hiring, employment, and advancement opportunities. The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado… more
- Point32Health (Canton, MA)
- …Medicare and/or Medicaid healthcare programs, principles, and practices of managed care . Project coordination and management experience. + Preferred: Skill ... and/or Medicaid Compliance experience. Strong experience with Medicare and/or Medicaid health care products. Demonstrated knowledge of government regulations… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. * ... initiatives that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for… more
- Molina Healthcare (Las Cruces, NM)
- …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJHPO Key Words: Medicare, Medicaid , Managed Care , Manager, Leader, Marketing, Duals, Enroll, ... community relations or health care related activities. + 3 years Managed - Care , Medicaid experience; knowledge of advertising requirements pertaining to… more
- Molina Healthcare (NM)
- …Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, Nevada Health Link, MCO, Managed Care , ACA, FQHC, Behavioral Health, CHW, Community Health ... experience in a senior or lead capacity. + Solid understanding of Health Care Markets, primarily Medicaid . + Previous healthcare marketing, enrollment and/or… more