- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 1 in Albany, NY** **Division of Eligibility & ... processes, and systems, while applying knowledge and experience of Medicaid regulations and program policies to system design and related business processes. +… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager in Albany, NY** **Division of Data Services & ... Enterprise Data Governance (BEDG) is seeking a strategic, action-oriented Data Policy Program Manager to lead the development, documentation, communication, and… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & ... locations Statewide. The Bureau provides support and assistance in advancing critical program goals, projects and priorities related to eligibility and enrollment in… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team in ... chance for professional growth!_** **50%** **Remote 50% Onsite** **Division of Program Development & Management (DPDM)** **Bureau of Adult Special Populations… more
- State of Minnesota (St. Paul, MN)
- …and Investigations Manager is responsible for providing oversight of Medicaid program integrity functions, including screening, audits, intake and ... **Working Title: Medicaid Compliance and Investigations Manager ** **Job...+ Minnesota Health Care Programs + Medical Assistance, Minnesota's Medicaid program . + Medicaid provider… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** Responsible for successful oversite and implementation of the Texas Medicaid Directed Payment Program (DPP) and internal business projects and ... and directs schedules as well as tracks and monitors program payments to ensure accuracy and audits for accuracy....+ Experience with Managed Care + Experience with TX Medicaid /CHIP and TX Directed Payment Programs (DPP). + Experience… more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with governmental ... form of objectives to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience ... all levels * Minimum of 2 years' experience with Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing,...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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
- Humana (Lansing, MI)
- …of our caring community and help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager ) who will lead a team ... and assist with monitoring day-to-day operational activities with AAAs. The Manager , Quality Assurance works within specific guidelines and procedures; applies… more
- CVS Health (TX)
- …do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level ... Office suite applications (eg, Outlook, Word, Excel, etc.). - Knowledge of Medicaid programs. * Solid decision-making skills while executing national, regional, and… more
- CVS Health (MD)
- …and regulatory requirements. + Medicaid Network Management experience, preferably Maryland Medicaid program . + Residing within the state of Maryland highly ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- New York State Civil Service (Syracuse, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- New York State Civil Service (New York, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...establish an eligible list for referral to the hiring manager for final consideration. Appeal Rights: If you receive… more
- Molina Healthcare (Tampa, FL)
- …of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and ... product development. + Operational Process Improvement experience. + Project and program management experience + Healthcare experience. + Excellent presentation and… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... enrolling in Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public health insurance programs… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... by providing information, including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen calls and perform a… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Elevance Health (Wallingford, CT)
- **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs to improve… more
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