- Pair Team (Berkeley, CA)
- …connecting them to high-quality care. Pair Team cares for the highest-need Medicaid recipients through a community-led model. We build local partnerships with ... community-based organizations to turn them into a site of care. As a support system for the community, we provide wraparound clinical services, up-skill CBO staff… more
- Rula Health (Charlotte, NC)
- …Credentialing Center (ANCC) Registration with state Prescription Monitoring Program (PMP) Current certificate of liability insurance No ... suspension/exclusion/debarment from participation in federal healthcare programs (eg, Medicare, Medicaid , SCHIP) No adverse actions by any nursing board, hospital or… more
- UnitedHealth Group (Metairie, LA)
- …delivers the clinical value proposition focused on quality, affordability and service, in support of growth activities of the health plan. The CMO reviews and edits ... and represents the voice of the market-based customer in program design. The CMO contributes to any RFA activity...in healthcare Solid knowledge of managed care industry and Medicaid / Medicare experience Understanding of the LTSS population… more
- UnitedHealth Group (Kalamazoo, MI)
- …Van Buren, Calhoun Clinical operations experience with MI Health Link (MMP and/or with MI Medicaid Long Term Support Services (LTSS)) Must be 18+ years of age or ... overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The Manager will manage a… more
- EmblemHealth (New York, NY)
- …plans (HEDIS, CAPHS, and HOS) to meet corporate business goals for Medicare, Medicaid , QHP, and Commercial product lines. * Support the execution of centrally ... of contact for quality vendors: develop and share target lists; provide support in monitoring performance against established Service Level Agreements; provide a… more
- Alliance For Better Health Care LLC (Schenectady, NY)
- …navigation, and the delivery of HRSN and other services to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain ... under New York's 1115 Waiver Amendment's SCN & Health-Related Social Needs (HRSN) Program , we are responsible for ensuring that there is a seamless, consistent… more
- Blue Shield of California (Oakland, CA)
- Job Description Your Work As the Program Manager, Principal, Product Strategy, you will play a central role in supporting the strategic development, evaluation, and ... with a strong background in behavioral health policy, public program strategy, or government affairs to shape how care...scale. Responsibilities Your Role In this role, you will: Support the Director of Behavioral Health Product in building… more
- Molina Healthcare (Long Beach, CA)
- …have a current active unrestricted RN license in the state of UT. This position will support our Medicaid Population that is live within the state of UT. This ... a case load and manage members enrolled in this program . We are looking for Registered Nurses who have...fast-paced position and productivity is important. This is a Remote position, home office with internet connectivity of high… more
- Tri-County Care (Spring Valley, NY)
- …Additional Responsibilities: Monitoring/Assisting individuals with maintaining benefits (Food Stamps, Medicaid , and SSI) Support individuals with P&P related ... the People First Transformation, and the State requirements. Location: This position is remote , but does require in-person visits. Candidates will need to be able to… more
- Innova solutions (St. Louis, MO)
- …is immediately hiring for an EDW Delivery Manager Position type: Remote . Location: Colorado As anEDW DeliveryManager,you will: Responsible for managing Healthcare ... Data Warehouse, from design to deployment, and implementation support efforts. Should be able to contribute in building and maintaining modern DW cloud native… more
- Essen Medical Associates (Bronx, NY)
- …in-person at over 35 medical offices and at home through the Essen House Calls program . Essen Health Care is the place Where Care Comes Together! We are looking for ... deadline-driven environment Has proven leadership skills, including working with remote or offshore teams Is highly organized, detail-obsessed, and mission-aligned… more
- FreedomCare (Phoenix, AZ)
- …is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care ... Phoenix, AZ. Spanish Bilingual Preferred . This is a remote role with potential travel to our office in...will help you develop a thorough understanding of our program . We will nurture your talent and provide continued… more
- Veterans Health Administration (Boise, ID)
- Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program . You must meet specific ... per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five… more
- Pyramid Consulting, Inc. (Tampa, FL)
- …This is a 06+months contract opportunity with long-term potential and is located in US( Remote ). Please review the job description below and contact me ASAP if you ... programs to be initiated. Monitor prior authorization requests. Provide clinical support to internal departments and address clinical related questions. Ensure… more
- Alliance For Better Health Care LLC (Syracuse, NY)
- …delivery of services - including food, housing, and transportation- to thousands of Medicaid Members. Transformative in nature, this novel Program will further ... under New York's 1115 Waiver Amendment's SCN & Health-Related Social Needs (HRSN) Program , we are responsible for ensuring that there is a seamless, consistent… more
- Henry Ford Health System (Jackson, MI)
- …Services include home health care (aides, nursing, therapy, medical social work), remote monitoring for chronic conditions, and access to 24/7 home medical equipment ... support . We also offer advanced palliative care through our AIM program , as well as hospice care focused on maximizing comfort and quality of life. As the only… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Director Federal National Accounts & Medicaid - Remote Date: Jul 23, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... the negotiation of Teva's biosimilar and brand portfolio products across State Medicaid and Federal National Accounts. The position is responsible for leading the… more
- Molina Healthcare (Fort Worth, TX)
- …operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations ... Committees. * Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership,… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor, Albany NY** **DPDM - 1422** **50% Onsite / 50% ... of services and programs for children provided under the Medicaid program including the Children's Health Home...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Levels 2 & 3) - Albany, NY** **Division of ... will work within the DEMI Bureau of Exchange Application Support , performing activities related to Medicaid expansion...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
