- State of Minnesota (St. Paul, MN)
- …and Investigations Manager is responsible for providing oversight of Medicaid program integrity functions, including screening, audits, intake and ... **Working Title: Medicaid Compliance and Investigations Manager ** **Job...+ Minnesota Health Care Programs + Medical Assistance, Minnesota's Medicaid program . + Medicaid provider… more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with governmental ... form of objectives to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager ) who will lead a team ... and assist with monitoring day-to-day operational activities with AAAs. The Manager , Quality Assurance works within specific guidelines and procedures; applies… more
- Molina Healthcare (Tampa, FL)
- …Active collaborator with people who are responsible for internal business operations involving department or cross-functional teams of subject matter experts, ... schedules as well as project budgets. + Monitors the product from inception through operations + May engage and oversee the work of external vendors. + Focuses on… 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 ... Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to… 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
- Elevance Health (Wallingford, CT)
- **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs to improve… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve as a… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single jurisdiction ... Medicaid program including the strategic direction for...profitability, growth, and stability of the business. The Sr Program Manager will have responsibility for business… more
- Prime Therapeutics (Carson City, NV)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides ... administrative oversight and management of rebate operations team and is responsible for directing day to...state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS...are searching for: Has immediate charge of the facilities operations and building crafts program of a ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES OPERATIONS AND CRAFTS Salary $136,076.88 - $183,393.84 Annually Location… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS,...medical center assisting in the management of a facilities operations and building crafts program in a ... ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations...Policies & Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care… more
- MyFlorida (Tallahassee, FL)
- …Florida State Plan for Medicaid , Florida administrative rules and regulations, program manuals and operations for the Supplemental Payments Unit. Reviews ... entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of... reconciliations. The incumbent will act as agency contract manager for assigned Medicaid contracts, which shall… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- The Program Manager of Telehealth / Operations Manager is responsible for leading the growth and integration of telehealth services. This role will ... opportunities to improve access and quality of care. The Program Manager of Telehealth / Operations...in an FQHC, hospital, or health system serving high-volume Medicaid populations preferred. + Knowledge of Medi-Cal telehealth regulations… 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 ... and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals...as the lead point of contact for their assigned Medicaid contracts and maintains active agency contract manager… more
- AccentCare, Inc. (Indianapolis, IN)
- Overview Business Operations Manager Location: Indianapolis, Indiana Position: Business Operations Manager Job ID: 70406 Remote/Virtual Position: NO ... of care we're building together. Be the Best Business Operations Manager You Can Be If you...lease. + * Maintain records related to the hospice program state license, Medicare and Medicaid Certification,… 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 ... and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals...incumbent in this position shall remain informed about the operations of the Medicaid fiscal agent, including… more
- Marshfield Clinic (Weston, WI)
- …support the most exciting missions in the world!** **Job Title:** Lab Operations Manager - East **Cost Center:** 301691161 WesHos-Laboratory **Scheduled Weekly ... Normal (United States of America) **Job Description:** The Lab Operations Manager is responsible for managing laboratory...or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is… more