• Product Development Manager

    Molina Healthcare (Tampa, FL)
    …and experience. **PREFERRED EXPERIENCE:** + 5-7 years of product development experience. + Managed Care (specifically Medicaid ) experience. + Experience ... to completion. Plans and manages aspects of the organization's health insurance product development objectives and initiatives across platforms. Plans and… more
    Molina Healthcare (09/07/25)
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  • Account Manager Sr - NC Medicaid

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...Medicaid business by driving communications, client-facing initiatives, and product and program recommendations. This position leads client initiatives… more
    Prime Therapeutics (09/23/25)
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  • Medicaid Fraud Investigator (Special Agent…

    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 ... Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to… more
    State of Colorado (08/27/25)
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  • Manager - Business Development

    AgeOptions (Oak Park, IL)
    …to expand AgeOptions' fee for service revenue through contacts with Medicare and Medicaid health plans and provider systems. This role will lead business ... development initiatives, establish governance structures and ensure the successful...and revenue growth through partnerships. Knowledge and experience with Medicare/ Medicaid health plans or provider systems. + At least… more
    AgeOptions (07/23/25)
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  • Product Manager

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Product Manager - Hybrid - Albany, NY** In this role, you will be ... timelines and priorities if appropriate. d. Ensure clear and consistent communication between product development and business teams. e. Maintain up to date… more
    Staffing Solutions Organization (08/19/25)
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  • Product Manager - Fusion (Remote)

    CareFirst (Baltimore, MD)
    …from the product owners and delivery team. To ensure the product development stages meet internal and external stakeholders'. expectations. Also, provide ... skills to foster trust and collaboration. **Preferred Licenses/Certifications:** + Certified Product Manager (CPM)-AIPMM + Certified Product Marketing… more
    CareFirst (09/12/25)
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  • Sr. Product Manager - Claims…

    Waystar (Louisville, KY)
    …and work closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in sales, marketing, design, ... requirements, designing solution architectures and developing the business case for new product development + Preparing software design plans including … more
    Waystar (08/08/25)
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  • CAHPS Operations & Improvement Lead Product

    Humana (Louisville, KY)
    …and help us put health first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient Experience ... contributing to an organization focused on continuously improving customer experiences. The Lead Product Manager will work to develop a product strategy… more
    Humana (09/25/25)
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  • Product Manager - Authorizations

    Waystar (Lehi, UT)
    **ABOUT THIS POSITION** Waystar is seeking a smart and creative Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are looking ... closely with User Experience team and Technology teams. The Product Manager will lead cross departmental strategic...solution architectures and developing the business case for new product development + Preparing software design plans… more
    Waystar (09/18/25)
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  • Principal Product Manager

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** Waystar is seeking a smart and creative Principal Product Manager with hands-on experience in Healthcare Revenue Cycle Management. We are ... with User Experience team and Technology teams. The Principal Product Manager will lead large-scale, cross departmental...solution architectures and developing the business case for new product development + Preparing software design plans… more
    Waystar (08/22/25)
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  • Lead Technology Product Manager

    Wolters Kluwer (Philadelphia, PA)
    **Lead Technology Product Manager ** - Commercial Drug Information This role follows a hybrid model, offering the flexibility to work remotely while staying ... **SUMMARY** As part of the **Wolters Kluwer Health team** , the **Lead Technology Product Manager for Medi-Span** plays a critical role in advancing our… more
    Wolters Kluwer (07/18/25)
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  • Manager , Compliance (Duals & D-SNP…

    Centene Corporation (Austin, TX)
    …have:_** + **_Expertise in Dual Eligible Special Needs Plans (D-SNPs) (compliance, product , and operations)._** + **_Experience in Medicare Managed Care and D-SNP ... + **_Hands-on experience with CMS Program Audits (including SNP) and training development ._** + **_Ability to work with regulators and present to agencies._** +… more
    Centene Corporation (09/30/25)
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  • Product Manager , Risk Adjustment…

    Datavant (Richmond, VA)
    …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the ... and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard...roles, ideally within healthcare. Must possess strong knowledge of product development practices and SDLC + **Domain… more
    Datavant (08/20/25)
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  • Manager , Growth & Community Engagement…

    Molina Healthcare (GA)
    …for all product lines. + Demonstrates thorough understanding of Molina's product lines, Medicaid , CHIP, Medicare SNP, Marketplace, MMP, etc **JOB ... Georgia Gateway **, Georgia Department of Community Health (DCH) Medica** re, Medicaid , Managed Care, Manager , Leader, Marketing, Duals, Enroll, Enrollees,… more
    Molina Healthcare (10/03/25)
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  • Senior Program Manager - DC Market…

    CareFirst (Washington, DC)
    …jurisdiction Medicaid program including the strategic direction for the development and expansion the business, ensure the profitability, growth, and stability ... **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single… more
    CareFirst (09/19/25)
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  • Clinical Care Manager

    WellSense (Manchester, NH)
    Clinical Care Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...no matter their circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members… more
    WellSense (08/22/25)
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  • IT Project Manager

    NTT DATA North America (Louisville, KY)
    …of an overall sourcing strategy. NTT DATA Services currently seeks an IT Project Manager to join our team in **KY, remote.** **Role Responsibilities** + The Project ... Manager 's primary function is to facilitate coordination among all...and ensures the timely and orderly flow of all Medicaid projects assigned, from initiation to completion. + Document… more
    NTT DATA North America (09/03/25)
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  • Salesforce Enterprise Manager

    General Dynamics Information Technology (Fairfax, VA)
    …Seize your opportunity to make a personal impact as a **Salesforce Enterprise Manager ** supporting the Centers for Medicare and Medicaid Services (CMS) Federal ... System Support and Oversight (FSSSO) program. Our work depends on **Salesforce Enterprise Manager ** with a **C** **onsultant Mindset** to lead the evolution of our… more
    General Dynamics Information Technology (10/04/25)
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  • Field Reimbursement Manager

    Amgen (Kansas City, KS)
    …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Kansas City, KS** **What you will do** Let's do this. Let's ... change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and… more
    Amgen (10/02/25)
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  • Non-Retail Account Manager - New York City

    Teva Pharmaceuticals (New York, NY)
    …market development managers and sales leadership. + Provide healthcare product information to physicians, office staff, and key decision-makers within accounts + ... Non-Retail Account Manager - New York City Date: Sep 9,...analytical acumen, a deep understanding of the New York Medicaid and hospital outpatient landscape and demonstrated success navigating… more
    Teva Pharmaceuticals (09/10/25)
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