- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with ... to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance … more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Compliance and Investigations Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : ... primary work location to be eligible for telework._** **_*Approximately, 10% travel._** The Medicaid Compliance and Investigations Manager is responsible for… more
- Humana (Lansing, MI)
- …team of Quality Assurance Professionals responsible for ensuring consistency of use and compliance to state and Humana requirements for Long-Term Services and ... help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager...area meetings, + Develop policies and procedures to ensure compliance with state and federal requirements and… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- OhioHealth (Columbus, OH)
- …OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state , federal, and local regulations. OhioHealth does ... Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be… more
- Insight Global (Raritan, NJ)
- …work experience in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding ... of product, industry trends and contracting processes * Familiarity with CORE/ Medicaid , CCRA, Content Manager . * A strong ability to develop innovative methods… more
- Centene Corporation (Austin, TX)
- …requirements. + Manage approval and submission of timely and accurate D-SNP State Medicaid Agency ("SMAC") contract and regulatory required report deliverables ... on established compliance program, policies, and practices to ensure and maintain compliance with federal, state , and local regulatory, contractual and legal… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... is responsible for overseeing and implementing the organization's compliance program to ensure adherence to federal, state... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of… more
- Prime Healthcare (Ontario, CA)
- …other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker with strong leadership skills and ... seeking new members to join our corporate team! Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary Manager , Financial Compliance Audit (Finance) has a...of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and state… more
- Cardinal Health (San Juan, PR)
- …of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is ... industry best-practices. + Develops and implements compliance training to ensure compliance with federal and state regulations and laws, CMS and other… more
- Elevance Health (Chicago, IL)
- ** Compliance Manager ** **Location:** his role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... for employment, unless an accommodation is granted as required by law. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- Medical Mutual of Ohio (OH)
- …is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical Mutual is the oldest and one of the ... leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage and Medicare Supplement… more
- Elevance Health (Columbus, OH)
- ** Compliance Manager ** **Location:** This role requires associates to be in-office 1 - 2 days per week at one of our four Ohio offices (Cincinnati, Columbus, ... for employment, unless an accommodation is granted as required by law. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- MyFlorida (Tallahassee, FL)
- …pertinent Federal laws and regulations, state statutes and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Sep 30, 2025 The State...systems models. The incumbent shall maintain knowledge about the Medicaid State Plan, waivers, regulations, and processes.… more
- State of Indiana (Indianapolis, IN)
- …efficiency. + Develop and monitor program requirements to ensure it meets federal and state policies and grants compliance . + Develop and supervise training of ... Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID:...Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest… more
- State of Colorado (Denver, CO)
- …health, safety, and welfare of patients/residents/consumers of healthcare facilities/agencies in the state of Colorado, by evaluating and securing compliance of ... intervened appropriately. + Writes statements of deficiencies, identifying areas of non- compliance with federal and state requirements based on… more
- Prime Therapeutics (Carson City, NV)
- …standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid contract. + Maintains rebate records ... + Manages to completion any current projects. + Adheres to organizational policies and procedures and ensuring compliance with federal laws, state laws and… more
- Service Source (Springfield, VA)
- …engagement and a healthy and safe environment. Ensure compliance with all State and Federal regulatory guidelines, including Medicaid , Licensing, and CARF as ... when needed Foster active engagement and inclusion for participants Ensure compliance with Medicaid , Licensing, CARF, and company standards Assist with… more
- Guthrie (Sayre, PA)
- …+ Support Medicaid screening and eligibility determinations in accordance with state -specific rules Technology & Innovation + Partner with IT and vendor teams to ... Summary The Manager of Patient Financial Clearance is responsible for...This role leads the central authorization team and corporate Medicaid enrollment team. This role ensures that patients are… more