- Sourcing Square US (Morgantown, WV)
- …to make a difference.Bring your financial skills to Genesis in the role of Regional Medicaid Eligibility Manager where you will play an integral role in the ... including re-determinations through either acceptance or appeals process.*Support the Medicaid Application Process by training assigned nursing centers' Business… more
- Sourcing Square US (Philadelphia, PA)
- …motivated to make a difference.Join the Genesis team as a Clinical Reimbursement Manager where you will maximize revenue through the evaluation and optimization of ... the Medicare/ Medicaid reimbursement process.Position Highlights*Participate in the development, implementation, evaluation and outcomes management of reimbursement… more
- Sourcing Square US (York, PA)
- …a difference. Bring your business intelligence to Genesis as our Revenue Cycle Manager . In a defined geographic territory, you will be responsible for proactive cash ... exceed business office goals and initiatives.*Serve as temporary business office manager in nursing centers with vacancies, leaves of absence, vacations.*Review… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 1--B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4666225) Apply Medicaid Program Manager ... dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of...statewide program (s) and supervision exercised. Differs from Medicaid Program Manager 1-A by… more
- State of Georgia (Fulton County, GA)
- Office of Medicaid Coordination (OMC) Program Manager Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/56753/other-jobs-matching/location-only) ... for DBHDD is located in downtown Atlanta. Job Description Job Title: Office of Medicaid Coordination (OMC) Program Manager Pay Grade: N Position Overview:… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Program Integrity Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 80422 + ... and_** Telework (https://dhs.intranet.mn.gov/buildings-facilities/hybrid-telework/telework/index.jsp) **_._** This position exists to manage Medicaid program integrity audits and investigations, contractors… more
- CVS Health (Princeton, NJ)
- …care more personal, convenient and affordable. **Position Summary** The Behavioral Health Senior Manager of Network Relations is a key role on the Aetna Better ... and administration of ABHNJ' s Behavioral Health Network. The Behavioral Health Senior Manager of Network Relations will report to the Executive Director of Network… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …organizational change success. + Cultivate relationships with internal and external Medicaid program stakeholders to ensure coordination on cross-agency needs ... Director of Technology Modernization, Medicaid Programs Durational Project Manager Recruitment...+ Lead and oversee all aspects of the Connecticut Medicaid Enterprise Technology System (CT METS) program .… more
- Genesis Healthcare (Morgantown, WV)
- …to make a difference.Bring your financial skills to Genesis in the role of Regional Medicaid Eligibility Manager where you will play an integral role in the ... re-determinations through either acceptance or appeals process. *Support the Medicaid Application Process by training assigned nursing centers' Business Office… more
- Molina Healthcare (Woodbridge, VA)
- …VIRGINIA. We are looking for candidates who live in within the state VA. Case Manager will work in remote and field setting supporting our Medicaid Population. ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- CVS Health (Oklahoma City, OK)
- …more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, conducts high level review and ... to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives. * Recruit providers as needed… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Contract Manager - Vendor Performance NC Medicaid - Remote **Job Description Summary** ... standard software. + Knowledge of system process analysis and/or program management, estimating IT system development, and testing. +...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Sutherland Global Services (Torrance, CA)
- …accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management ... + Define Sutherland's reputation: Oversee and manage performance and service quality to guarantee customer satisfaction; provide coaching and feedback to CSRs.… more
- CVS Health (Trenton, NJ)
- …make health care more personal, convenient and affordable. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our ... promote innovative value-based solutions to meet total cost and quality goals for our Medicaid businesses. +...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Indianapolis, IN)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... The Provider Education & Outreach Representatives serve as the primary relationship manager with providers to ensure positive provider experience with Humana Healthy… more
- Elevance Health (Indianapolis, IN)
- **Medical Director-Indiana Medicaid ** **Location: This is a hybrid position. Candidates must live within 50 miles of an Elevance Health location. Prefer candidates ... received. May be responsible for developing and implementing programs to improve quality , cost, and outcomes. May provide clinical consultation and serve as… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for the ... Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high- quality , coordinated care and is continually rated among the nation's top… more
- Medical Mutual of Ohio (OH)
- …the option to work fully remote; Ohio residents preferred._** **Responsibilities** **Health Plan Quality Program Manager ** + Facilitates projects to increase ... of continuous improvement. + Performs other duties as assigned. **Senior Health Plan Quality Program Manager ** + Leads and/or participates in… more
- Point32Health (MA)
- …The Clinical Program Manager is a Registered Nurse who performs program oversight activities to optimize the quality of Program services; this ... across partnering business areas and external entities. The Clinical Program Manager is a highly motivated individual...healthcare related field preferred + Certified Professional in Healthcare Quality (CPHQ) and / or Certified Case Manager… more
- Point32Health (Canton, MA)
- …with Medicaid laws and regulations governing federal and state contracts for Medicaid products. The Program Manager will be expected to proactively ... we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Program Manager is responsible for key departmental functions related… more
