- County of Los Angeles, CA (Los Angeles, CA)
- …of Mental Health is seeking qualified candidates to fill emergency Mental Health Program Manager I vacancies related to the homelessness crisis. Under the ... pass the assessment will be considered for permanent appointment to Mental Health Program Manager I. Essential Job Functions Performs the full range of… more
- Care Lync (Biddeford, ME)
- …and Autism Spectrum Disorder who are enrolled in the Department of Human Services, Medicaid Waiver Program . Our Support Coordinators work with adults to help ... environment. General Summary The Support Coordinator / Service Coordinator / Case Manager provides case management activities necessary to meet the needs of clients… more
- CareStar, Inc. (Columbus, IN)
- Case Manager - Bartholomew County and surrounding counties Ready to join a growing company whose work profoundly impacts people's lives in their community, who offers ... talented business leaders/professionals? CareStar, Inc. is currently seeking a Case Manager in the Clinical department to provide case management services including… more
- Valley Health System (Paramus, NJ)
- Position Summary Responsible for development and implementation of hospital's system / processes for Utilization Management, Denials /Appeals Management, Resource / ... the day-to-day operations for Concurrent Utilization Review processes for Medicare, Medicaid , Managed Care and Commercial Payors, Oversight of all inpatient Denials… more
- Sun Life Financial, Inc. (Wellesley Hills, MA)
- …Portland, ME, or Hartford, CT offices. The opportunity: The Information Technology (IT) Audit Manager is a role within IA that will report to the Director (IT ... assurance projects in North America. The role will also support the implementation of audit data analytics, integrated systems auditing, and digital-related reviews… more
- Innova solutions (Florham Park, NJ)
- Innova Solutions is immediately hiring a EDI Technical Delivery Manager Position type: Permanent Duration: Fulltime Location: New Jersey, US As a EDI Technical ... Delivery Manager , you will: Responsible for managing Healthcare Products and...Products and EDI Projects from design to deployment, and implementation support efforts Should be able to contribute in… more
- CVS Health (Morristown, NJ)
- …compassionate. And we do it all with heart, each and every day. Position Summary: Case Manager (Remote - Morris County, NJ) This is a remote Case Manager role ... Standard work hours are Monday-Friday, 8:00 AM-5:00 PM EST. The Case Manager is responsible for delivering high-quality, cost-effective care through the development… more
- Innovative Life Solutions (Burlington, NJ)
- …Day Habilitation Center. Oversees the overall operation of the Day Habilitation program , including but not limited to the following: Maintain and enforce compliance ... necessary paperwork is completed in accordance with the standards of Medicaid 's Comprehensive Waiver (CMW). Schedule, attend and implement mandatory meetings,… more
- CareOregon (Portland, OR)
- …as appropriate to ensure effective clinical input and oversee the operational implementation of all relevant projects and program initiatives. Ensures delivery ... Level Director Direct Reports Sr Planning & Operations Specialist, Network Support Manager Manager Title Vice President, CareOregon Metro Department CareOregon… more
- OU Health (Oklahoma City, OK)
- …provider network, program benefits, appeals and grievances. The Billing Office Manager may handle provider/patient calls of an advanced or difficult nature as ... Job Description General Description: The primary responsibilities of the Billing Office Manager are to lead, plan and direct the overall functions of the… more
- Halifax Health (Port Orange, FL)
- …and reporting to quality manager /senior leadership - Assists with the implementation of the Quality Assessment Performance Improvement program - Assists in ... for review/extraction of patient care data related to the Hospice Quality Reporting Program (HQRP) entered into the electronic medical record to ensure accuracy and… more
- Trinity Health (Watervliet, MI)
- Employment Type: Full time Shift: Day Shift Description: RN Care Manager - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding opportunity for an RN ... Case Manager to work out of our 385 Watervliet Shaker Road, Latham location! PACE is a unique program on the forefront of trends in healthcare, combining an… more
- MBK Senior Living (Mountlake Terrace, WA)
- …community (50%) including: *Consult with department directors on: - development and implementation of departmental policies and procedures - establish rapport in and ... duties during absences through delegation or personal completion, appointing and training a Manager on Duty for those for those times the Executive Director is not… more
- Netpace, Inc. (Nashville, TN)
- Under the supervision of the Charge Nurse and Nurse Manager of Pre-Op/PACU, the RN is responsible for implementing the Pre-Op Nursing Assessment/Post Anesthesia Care ... hospitals in Nashville with a Five-Star Rating from the Centers for Medicare & Medicaid Services, Top 5% in the US for spinal surgery, numerous Healthgrades awards… more
- CenterWell Primary Care (North Las Vegas, NV)
- …the development, implementation and management oversight of the company's Medicare/ Medicaid Stars Program . The Quality RN Professional work assignments are ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Staffing Solutions Organization (Albany, NY)
- …development and implementation . **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team in ... workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor: Behavioral Health in Albany, NY** **Division of Program… more
- Idaho Division of Human Resources (Boise, ID)
- …downtownBoiseoffice and report to the Deputy Director and will have primary oversight of Medicaid areas supporting work across the program and division. Areas of ... Medicaid Deputy Administrator - MED Posting Begin Date:...state and federal regulations and requirements. + Ensure development, implementation , and fiscal responsibility of statewide program … more
- MyFlorida (West Palm Beach, FL)
- …of service programs for persons with developmental disabilities served through the Medicaid Waiver program . Assists in the identification and resolution of ... specific problems concerning policy implementation and service delivery. Provides technical assistance regarding programmatic...medical necessity reviews for all individuals served through the Medicaid waiver program for the Region. Verifies… more
- Teva Pharmaceuticals (North Wales, PA)
- Medicaid Claims Analyst Date: Jul 8, 2025 Location: North Wales, United States, Pennsylvania, 19454 Company: Teva Pharmaceuticals Job Id: 62333 **Who we are** ... new people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- NTT America, Inc. (Little Rock, AR)
- …will work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the direction of the team manager , they ... Reporting, and DSS * Minimum 7 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations *… more
