• Medicaid Program Manager

    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 ... processes, and systems, while applying knowledge and experience of Medicaid regulations and program policies to system...by SSO. Under the federal laws relating to the F- 1 STEM EAD program , SSO may be… more
    Staffing Solutions Organization (09/16/25)
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  • Manager , Compliance - Medicaid

    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 ... objectives to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops...in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and… more
    Humana (10/04/25)
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  • Account Manager Sr - NC Medicaid

    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
    Prime Therapeutics (09/23/25)
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  • Medicaid Fraud Investigator (Special Agent…

    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...a sign-on bonus for new Special Agent hires of $ 1 ,500. Eligible only to hires new to the Colorado… more
    State of Colorado (08/27/25)
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  • Medicaid Helpline Agent

    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 (08/13/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (Albany, NY)
    …complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such...operator for years of fraud and neglect; securing over $7. 1 million from a former Saratoga County nursing home… more
    New York State Civil Service (09/12/25)
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  • Medicaid Helpline Agent

    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
    City of New York (08/13/25)
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  • Medicaid Enroll&Outrch Spc I

    University of Rochester (Rochester, NY)
    …+ Bachelor's degree in Psychology, Sociology, Social Work or Business Administration + And 1 years related experience such as a Medicaid Eligibility Examiner or ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
    University of Rochester (08/20/25)
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  • Economist Supervisor - SES / Actuarial…

    MyFlorida (Tallahassee, FL)
    …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Sep 30, 2025 The State Personnel...and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals… more
    MyFlorida (10/01/25)
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  • CFSP Lead OB Specialty Care Manager RN (DSS…

    Elevance Health (Sylva, NC)
    …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... ON BONUS** **LOCATION** **: This position supports DSS Region 1 . You must live in this region.** **HOURS** **:...as required by law._ The Lead OB Specialty Care Manager RN is responsible for coordinating operations and workflows… more
    Elevance Health (09/13/25)
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  • Nurse Manager 2-Zone 1

    State of Georgia (GA)
    NURSE MANAGER 2-Zone 1 Georgia (https://ga.referrals.selectminds.com/jobs/63825/other-jobs-matching/location-only) Healthcare ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/3205742/nurse- manager -2-zone- 1 ?page=2&pagetype=jobOpportunitiesJobs Applicants who do not apply using… more
    State of Georgia (07/16/25)
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  • Program Manager (Licensed) - GRAN…

    State of Georgia (Newton, GA)
    Program Manager (Licensed) - GRAN Recovery Program - Covington, GA. Georgia - Newton - Covington ... behaviors and effecting change in the individuals' lifestyle, attitudes, and values. Program Manager leads an interdisciplinary treatment team working within a… more
    State of Georgia (10/03/25)
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  • RN Care Manager - Waiver Program

    Molina Healthcare (Detroit, MI)
    …RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the WAIVER team. This position will have ... a case load and manage members enrolled in this program . We are looking for Registered Nurses who have...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
    Molina Healthcare (09/25/25)
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  • Utilization Management Manager

    State of Indiana (Indianapolis, IN)
    Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... disability. The seven care divisions in FSSA administer services to more than 1 .5 million Hoosiers. FSSA's mission is to compassionately serve Hoosiers of all ages… more
    State of Indiana (09/26/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Carson City, NV)
    …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
    Prime Therapeutics (08/08/25)
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  • Residential Program Manager

    Devereux Advanced Behavioral Health (Viera, FL)
    …make a positive impact on the lives of children and Families?** **Then being a Program Manager at Devereux is for YOU! You belong here.** Devereux Advanced ... Located in **Viera, FL** ,. This position is responsible for oversight of the program and staff, certifying proper service delivery to all clients in a safe and… more
    Devereux Advanced Behavioral Health (09/30/25)
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  • Project Manager II

    Cayuse Holdings (Austin, TX)
    …Savings Plan with matching after one year + Paid Time Off **Reports to: Program Manager ** **Working Conditions** + Professional office environment. + Ability to ... USD $100,000.00 - USD $146,000.00 /Yr. Submit a Referral (https://careers-cayuseholdings.icims.com/jobs/2920/project- manager -ii/job?mode=apply&apply=yes&in\_iframe= 1 &hashed=-1834356743) **Can't find the right opportunity?** Join… more
    Cayuse Holdings (09/30/25)
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  • Program Manager

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** Overview We are seeking a highly strategic and results-oriented Program Manager to lead the coordination and execution of our AI ... ideal candidate will have a strong background in large-scale program management, deep expertise in process optimization, and a...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
    Waystar (09/10/25)
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  • Care Manager

    Astor Services (Poughkeepsie, NY)
    …presumed to meet eligibility requirements of New York State's Children's Health Homes program . The Care Manager uses problem solving strategies to assist ... behavioral health crises with their children through care coordination. The Care Manager guides program enrollees and their caretakers (legal guardians) through… more
    Astor Services (09/15/25)
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  • NM Seneca Case Manager

    Lakeview Health Services (Geneva, NY)
    …EMPLOYMENT OPPORTUNITY $2,500 SIGN-ON BONUS Title : Seneca County Non- Medicaid Case Manager Job Requisition No.: 1768 Program : Care Management, Geneva, NY ... Employer Funded Life Insurance + 9 Paid Holidays and 1 Floating Holiday + Employee Assistance Program ...Functions Overview With the general oversight of the CSS Program Manager , works from a trauma informed… more
    Lakeview Health Services (09/19/25)
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