• Medicaid Strategic Initiatives…

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Strategic Initiatives Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4950841)  Medicaid Strategic Initiatives Manager ... budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director, the Strategic Initiatives Manager is an important member of the Iowa Medicaid more
    Iowa Department of Administrative Services (05/22/25)
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  • Manager Medicaid Compliance

    Highmark Health (Indianapolis, IN)
    …the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted business ... partner, providing expert advice and guidance on Medicaid and CHIP compliance matters, and directly contributing to...all personnel and related entities supporting core functions of Medicaid and CHIP contracts. The position actively manages the… more
    Highmark Health (06/17/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Schenectady, NY)
    Case Manager , Medicaid Long Term Support Program 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2653 Thursday, June 12, ... thinking and continuous improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If you have a… more
    MVP Health Care (06/13/25)
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  • Actuary Senior Manager with Medicaid

    Deloitte (Tempe, AZ)
    …health plan/insurance company experience + 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... any time in the future Preferred: + Experience providing Medicaid consulting services to Government agencies + Experience with... consulting services to Government agencies + Experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience… more
    Deloitte (05/24/25)
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  • Manager , Actuarial Services…

    Molina Healthcare (Seattle, WA)
    …+ Manage the development and maintenance of Actuarial models for Medicaid forecasting. + Oversee the coordination and communication of timelines, deliverables, ... and process updates with Medicaid regional actuarial teams, FP&A (Finance, Planning and Analytics),...+ Produce reporting and ad hoc analyses of enterprise Medicaid forecast results to key Finance stakeholders and leadership.… more
    Molina Healthcare (04/30/25)
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  • Senior Manager , Account Management…

    Conduent (Denver, CO)
    …is noticed and valued every day. **Enterprise Data Warehouse, Account Management - Medicaid ** Remote | Full-Time Location: Colorado Do you have a proven track record ... Role:** We're looking for a skilled and experienced **Account Manager ** to support the successful delivery and growth of...support the successful delivery and growth of a new Medicaid Enterprise Data Warehouse client account in Colorado. In… more
    Conduent (06/21/25)
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  • Manager Patient Accounting-Patient…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Manager Patient Accounting-Patient Financial Services (Medicare/ Medicaid ) Corporate-Full-Time Days** The Manager is responsible for ... department or division to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to institutional policies and… more
    Mount Sinai Health System (06/05/25)
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  • Pharmacist Program Manager

    Elevance Health (Washington, DC)
    **Title** : **Pharmacist Program Manager - Medicaid ** **Location: 609H St NE, STE 200, Washington DC 20002** **(Candidates MUST reside in DC)** Hybrid : **This ... work, promoting a dynamic and adaptable workplace. The **Pharmacist Program Manager ** is responsible for developing and maintaining relationships with external… more
    Elevance Health (06/19/25)
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  • Lead Product & Strategy Manager - Clinical…

    Humana (Concord, NH)
    …health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, design, ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (06/14/25)
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  • Manager Cellular Therapy Lab

    HCA Healthcare (Gainesville, FL)
    …Act (CLIA) as well as compliance with standards of the Centers for Medicare & Medicaid Services (CMS). The Manager supervises all employees in the lab and is ... each individual is recognized. Submit your application for our Manager Cell Therapy Lab opening with HCA Florida North...benefits may vary by location._** We are seeking a(an) Manager Cell Therapy Lab for our team to ensure… more
    HCA Healthcare (06/21/25)
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  • Field RN Case Manager - Rockford

    Molina Healthcare (Freeport, IL)
    …Illinois Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to ... services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
    Molina Healthcare (05/31/25)
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  • Billing Manager

    Robert Half Finance & Accounting (York, PA)
    Description We are looking for an experienced Billing Manager (Medicare/ Medicaid ) to oversee and manage all aspects of revenue cycle operations within a ... long-term care environment. This role is based in York, Pennsylvania, and requires strong expertise in billing, collections, and financial oversight, with a focus on compliance and accuracy. The ideal candidate will bring leadership skills, technical… more
    Robert Half Finance & Accounting (06/06/25)
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  • Configuration Management Manager

    CVS Health (Indianapolis, IN)
    …problem-solving abilities **Preferred Qualifications** Clinical Coding Experience - Content Manager Claim Processing Medicaid Working with SQL Application ... and every day. Remote: can work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing content delivery and… more
    CVS Health (06/18/25)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (North Wales, PA)
    Medicaid Claims Analyst Date: Jun 9, 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
    Teva Pharmaceuticals (06/09/25)
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  • Medicaid Claims Analyst

    Aston Carter (Parsippany, NJ)
    Job Title: Medicaid Claims Analyst Job Description We are seeking a Medicaid Claims Analyst to review summary data for claim submissions to ensure rebate ... suspect claims, and determine disputed payments. The role includes resolving Medicaid disputes with states/programs and proposing, applying, and documenting proper… more
    Aston Carter (06/26/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Santa Fe, NM)
    …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (06/18/25)
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  • RFP Development Director, Medicaid Clinical…

    Elevance Health (Louisville, KY)
    The Medicaid Growth Office is looking to hire a **Request for Proposal (RFP) Development Director to align to our Clinical Strategies and Solutions** for all new and ... renewing Medicaid state RFPs. This RFP Development Director is a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (06/13/25)
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  • Medicaid Finance Officer

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Finance Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949325)  Medicaid Finance Officer Salary $130,083.20 - $184,724.80 ... Number 25-03162 Agency 400 Health & Human Services - Medicaid Opening Date 05/21/2025 Closing Date 7/6/2025 11:59 PM...four years of full-time work as a Public Service Manager 2 or comparable management-level position. For additional information,… more
    Iowa Department of Administrative Services (05/21/25)
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  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid more
    City of New York (05/14/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (New York, NY)
    …HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS ... New York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Medical Analyst, Opportunity for Registered… more
    New York State Civil Service (05/14/25)
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