- Alternate Solutions Health Network LLC (Detroit, MI)
- …patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention ... (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of our employees must be fully vaccinated or… more
- LIGHTHOUSE GUILD INTERNATIONAL, INC (Niagara, NY)
- …have a good working knowledge of local community based services, the NYS Medicaid System, The DOH Universal Assessment system and experience in obtaining services ... through waivered and/or managed Medicaid plans. Experience working with the elderly and/or disabled...tasks on a regular basis as assigned by program director . These include: escorting registrants throughout the space, including… more
- CVS Health (Parsippany, NJ)
- …health care more personal, convenient and affordable. Position Summary The NJ Medicaid Lead Director , Network Management is accountable for designing conceptual ... models, initiative planning, and negotiating Medicaid value based agreements with New Jersey providers, including...with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure… more
- CVS Health (Downers Grove, IL)
- …to make health care more personal, convenient and affordable. Position Summary Aetna's Medicaid Proposal Director /Lead Director Project Program Manager leads ... end-to-end proposal activities for large, complex Medicaid proposals. The Proposal Director ensures high engagement and collaboration across the enterprise and… more
- Elevance Health (Topeka, KS)
- ** Medicaid State Operations Director ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live in the state of ... Kansas within 50 miles of one of our Kansas PulsePoint locations. The ** Medicaid State Operations** Director is responsible for operations functions, including… more
- Elevance Health (Columbia, SC)
- **Operations Director - Medicaid ** **Location:** Columbia, South Carolina. This position will work a hybrid model (remote and office). The ideal candidate will ... of one of our South Carolina Elevance Health PulsePoint locations. The **Operations Director - Medicaid ** will be responsible for ensuring the appropriate… more
- Conduent (Hamilton, NJ)
- …of a culture where individuality is noticed and valued every day. ** Director , Medicaid Eligibility** **_(Relocation Assistance & $ign-On Bonus available)_** **Do ... MBA pref + Have a strong understanding of Government Programs ( eg Medicaid , SNAP, etc.) + Have excellent leadership and people management skills and experience… more
- State of Colorado (Denver, CO)
- Medicaid Operations Office Deputy Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4512501) Apply Medicaid Operations Office ... people of diverse backgrounds and abilities. We are looking for a Medicaid Operations Office Deputy Director to j oin our Medicaid Operations Office! The … more
- CVS Health (Falls Church, VA)
- …care more personal, convenient and affordable. Position SummaryAetna is recruiting a Lead Director on the Medicaid Actuarial Growth and Strategy team. As Lead ... you will play a crucial role in driving profitable growth for Aetna's $15B+ Medicaid business. In the role, you will have the opportunity to engage with stakeholders… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. A Brief OverviewThis lead director will lead the Medicaid reserve process. This person will oversee ... bringing the Medicaid reserve process into the Finance organization, from the...Aetna's financial integrity and ensuring the health of the Medicaid business. The role will align actuarial policies and… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid , will collaborate with ... for Aetna LTSS members. This position will also lean heavily into the Medicaid cost reduction initiatives such as Scorable action items (SAI'S) and be responsible… more
- CVS Health (Richmond, VA)
- …care more personal, convenient and affordable. Position Summary:Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in sixteen states: Arizona, California,...supports the Aetna Better Health of Virginia. This Medical Director will be a "Work from Home" position primarily… more
- State of Massachusetts (Boston, MA)
- …is led by the Director of Program Integrity, who reports to the Deputy Medicaid Director , and consists of 10 internal staff members and dozens of contractors ... The Deputy Program Integrity Director is a policy, people and operational leader...federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office of Inspector… more
- CVS Health (Hartford, CT)
- …team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk ... committed to revenue integrity excellence. This position will contribute to Medicaid RAF performance through the delivery of measurable and actionable solutions… more
- CVS Health (Princeton, NJ)
- …Officer and will work in close partnership with the ABHNJ CMO, CFO, MLTSS Director , Integrated Case Management Director , Medicaid Operations and Performance ... Medicaid Vendor Management Director , and all matrixed growth partners. Successful candidate must...Managing oversight of all ABHNJ vendors in consultation with Medicaid Vendor Management Director + Managing the… more
- Humana (Columbus, OH)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Frankfort, KY)
- …content in a manner that will ultimately result in the award of state Medicaid contracts. The Associate Director , Content Development oversees and supports the ... of our caring community and help us put health first** The Associate Director , Content Development helps oversee and coordinate the development of strategic and… more
- MyFlorida (Tallahassee, FL)
- …sources of evidence, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts. Program Planning and Analysis The ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- MyFlorida (Tallahassee, FL)
- …sources of evidence, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts. Program Planning and Analysis The ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- Tarrytown Rehabilitation & Nursing Center (Medford, MA)
- …with employees and/or clients for cases that fall under the category of Medicaid recertification. + Assist the financial director in creating financial reports ... Coordinator will be responsible for all matters pertaining to Medicaid recertifications from beginning to end. If a patient...responsible to make sure the patient gets back on Medicaid . This position also covers banking when the Resident… more
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