- LEL Home Services (Indianapolis, IN)
- Program Manager Reports to : Regional Director Setting : Remote (in community and at home office) Classification : Full-time; non-exempt Summary : A Program ... service changes Participate in company leadership meetings and events Program Managers have calls/meetings approximately 3 times...and members of the support team File compliance Qualifications Program Manager must have a Bachelor's degree… more
- Aveanna Healthcare (Milford, DE)
- Position Overview: The RN Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical ... competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are...procedures.? ** This position has a 10% incentive bonus program ** Essential Job Functions: Plans, develops, and manages… more
- Aveanna Healthcare (La Crosse, WI)
- Participates in a 10% Incentive Bonus Position Overview: The Clinical Manager Home Health works under the direction and guidance of the Branch Administrator to ... orientation and ensure competence as a Preceptor and or ensure RN Case Manager /Preceptor resources are in place. Ensures that services are delivered according to… more
- Accessia Health (Midlothian, VA)
- …health insurance related legislation Provide status updates in accordance with the program parameters Monitor cases on an ongoing basis and provide additional ... platform to check ongoing status of case management Provide program statistical data to the leadership team on an...in Social Work, Human Services, or equivalent experience, plus 3 + years in case management. In-depth knowledge of private… more
- HealthCare Support (Houston, TX)
- …of these services and if not meeting criteria, refer to the Medical Director. 3 . Participates in Community Nursing Rounds if applicable with Medical Director and is ... Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the...Texas License Three years clinical experience in acute setting. 3 years of UR/UM Highlight lines of business worked-… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience ... problem-solving skills * Strong communication and presentation skills * 3 + years' experience in Medicaid Managed Care...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Lansing, MI)
- …you will be required to be screened for TB. **Preferred Qualifications** + Certified Care Manager (CCM). + Three ( 3 ) or more years of managed care experience in ... help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager...or LMSW) in the state of Michigan. + Three ( 3 ) or more years of professional experience working with… more
- New York State Civil Service (Syracuse, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- New York State Civil Service (New York, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...establish an eligible list for referral to the hiring manager for final consideration. Appeal Rights: If you receive… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... enrolling in Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public health insurance programs… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... by providing information, including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen calls and perform a… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH PROGRAM MANAGER III (DIRECTOR OF MEDI-CAL OPERATIONS) - EMERGENCY APPOINTMENT (HOMELESSNESS) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5076624) HEALTH PROGRAM MANAGER III (DIRECTOR OF MEDI-CAL OPERATIONS) - EMERGENCY APPOINTMENT… more
- Elevance Health (Burlington, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... stable, and nurturing homes._ **North Carolina residency is required!** **$ 3 ,500 SIGN ON BONUS** **LOCATION** **: We are seeking...an accommodation is granted as required by law._ The Manager Care Management, Foster Care ( Manager I… more
- Elevance Health (Burlington, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... thrive in safe, stable, and nurturing homes._ **North Carolina residency is required!** **$ 3 ,500 SIGN ON BONUS** **LOCATION** **: This position supports DSS Region … more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single jurisdiction Medicaid ... profitability, growth, and stability of the business. The Sr Program Manager will have responsibility for business...deliver the overall strategic plan for a single jurisdiction Medicaid program . Through collaboration with matrix leaders… more
- MyFlorida (Tallahassee, FL)
- …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Sep 30, 2025 The State Personnel...and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals… more
- Service Source (Springfield, VA)
- Assistant Program Manager - Adult Day Program Burke, VA | Serving up to 20 individuals Monday-Friday, 8:30am-4:30pm No evenings, weekends, or on-call! ... Program in Burke, VA, and we're looking for a compassionate and organized Assistant Program Manager to help lead the way. This role supports individuals with… more
- NTT America, Inc. (Baltimore, MD)
- …work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the CIO, they will actively lead the delivery of ... of software systems and services that support the Customer's Medicaid Program . The ideal candidate will possess...analyst with, or consultant to, State Health Programs (eg Medicaid ) + Minimum 3 years of experience… more
