- University Health (Seguin, TX)
- …also serves as a liaison between PHM and Information Services (IS) operations and technical staff. Responsibilities include supporting PHM needs through ongoing ... scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health… more
- Unknown (Hamilton Square, NJ)
- …coaching the operations team, and ensuring adherence to all legal, Medicaid , and contractual obligations. The ideal candidate will be adept at delegating ... in the development of new program models and approaches to service delivery. Hiring Manager Title COO Travel Percent Less than 10% Functions Operations more
- Unknown (Seattle, WA)
- …required, with a Master's degree and relevant licensure preferred. Hiring Manager Title Chief Executive Officer Travel Percent Less than 10% Functions Operations ... Senior Vice President of Operations About the Company Mission-driven provider of affordable...estate assets. The SVP will also be involved in program oversight, fostering community partnerships, and leading initiatives that… more
- Unknown (Houston, TX)
- …travel, including internationally. Hiring Manager Title SVP, Professional Services Travel Percent Less than 10% Functions General Management Operations Strategy ... analytics contract management customer & channel rebates configure price quote government medicaid fss tricare channel & inventory management managed care sales &… more
- Unknown (Philadelphia, PA)
- …Health & Wellness Consulting & Professional Services Government Specialties government program operations health insurance exchanges case management customer ... strong analytical and leadership skills. A background in pharmacy acquisition or compounding operations is a bonus. Hiring Manager Title CEO Travel Percent Less… more
- Unknown (CA)
- …and regulatory requirements. The successful candidate will also oversee financial operations , compliance, budgeting, and financial planning, as well as manage the ... and grants. Experience in healthcare finance, particularly in the areas of Medicaid , Medicare, and private insurance billing, is essential. Applicants for the CFO… more
- Humana (Tallahassee, FL)
- …Consumer Service Operations is responsible for the daily activities for Florida Medicaid Contact Center Operations . The Manager , Consumer Service ... reside in the state of Florida. Responsibilities of the Manager , Consumer Service Operations , Medicaid ...education and details about benefits provided by the Florida Medicaid managed care program . + Monitor call… more
- NTT DATA North America (Montgomery, AL)
- …The Project Manager will work under the direct leadership of the PMO Program Manager . + Primary point of contact for vendor/cohort + Responsible for the ... forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to...experience running multiple concurrent projects + 6+ Years of Medicaid Systems or operations project management experience… more
- PruittHealth (Charlotte Hall, MD)
- … Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing on Medicaid and compliance. This ... position is responsible for assisting the Business Office Manager in overseeing the daily operations of...6. Assist in internal and external audits related to Medicaid , resident trust accounts and financial operations ,… more
- Elevance Health (Indianapolis, IN)
- ** Medicaid Contract Implementation Management Director** **Location** : Indianapolis, IN **Hybrid 2:** This role requires associates to be in-office 3 days per week, ... unless an accommodation is granted as required by law._ The ** Medicaid Contract Implementation Management Director** is responsible for managing Medicaid… more
- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for...as for internal staff and aligns Network functions with Operations and Claims as needed. + Collaborates with internal… more
- Cognizant (Little Rock, AR)
- … program segmentation, and operational workflows throughout Cognizant's national operations . + Establish and maintain key performance indicators, dashboards, and ... working experience. + Minimum of ten (10) years of experience in state Medicaid and Medicare eligibility, enrollment operations , health plan administration, or… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… 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...collaboration with matrix leaders in marketing, finance, government relationships, operations , health services and compliance, the Manager … more
- Commonwealth Care Alliance (Boston, MA)
- …medical, behavioral health, and/or social needs. + Strong understanding of **Medicare, Medicaid (MassHealth), and dual-eligible program operations ** , ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Fair Haven Community Health Care (New Haven, CT)
- …equitable, high-quality, and culturally responsive patient-centered care. Job purpose The Pharmacy Operations & 340B Program Manager provides strategic ... use areas and ensure maximum participation and compliance with program guidelines. + Monitor and audit inventory, Medicaid...with contract pharmacies, wholesalers, and EMR teams to support program operations . + Apply data-driven methods to… more
- Point32Health (Canton, MA)
- …engagement with senior leaders at contracted provider organizations. + **Risk Adjustment Program Management and Vendor Evaluation** : The Manager will be ... to identify improvement opportunities and recommend changes to improve program results and effectiveness. The Manager will...and reporting that identify and track revenue trends and program results for Medicare, Medicaid , Duals and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medical Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5158079) Apply Medical Policy Program Manager Salary ... related to Medicaid coverage and reimbursement + Develops and implements program goals, objectives, and performance standards related to policies and programs +… 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
