- State of Minnesota (St. Paul, MN)
- … Medicaid Provider Audits and Investigations Manager ** **Job Class: Human Services Manager 2 ** **Agency: Human Services Dept** + **Job ID** : 90078 + ... this position provides executive leadership and strategic oversight of health care program integrity within Minnesota's Medicaid system. The incumbent manages… more
- NTT America, Inc. (Little Rock, AR)
- …will work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the direction of the team manager , they ... 5 years of experience supporting or developing Health Care systems * Minimum 2 years of experience supporting large, complex Medicaid system implementation… more
- Fallon Health (Worcester, MA)
- …experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an ... alternative to nursing home care, is a program that helps people 55 and older continue living...the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of… more
- New York State Civil Service (Rochester, NY)
- NY HELP Yes Agency Mental Health, Office of Title Residential Program Manager 2 (NY HELPS), Rochester Psychiatric Center, P27340 Occupational Category Health ... Description Rochester Psychiatric Center is currently recruiting a Residential Program Manager 2 to manage...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …May serve as backup to management (ie Medicaid Program Supervisor, Medicaid Program Manager 1B). + Other tasks as assigned. QUALIFICATIONS REQUIRED: ... verbal/written communications skills. DESIRED: + Advanced degree. + Minimum 2 years professional experience with Medicaid Long...+ Minimum 2 years professional experience with Medicaid Long Term Care and HCBS programs. + Minimum… more
- Medtronic (Minneapolis, MN)
- …to enhance collaboration and ensure successful completion of projects. The **Senior HEPR Program Manager ** will serve in a highly visible and impactful role ... Health Economics, Policy and Reimbursement team. We are seeking a Senior HEPR Program Manager to support global reimbursement strategy development, new business… more
- Service Source (Lorton, VA)
- …. Join Our Team! ServiceSource is proudly hiring a compassionate and skilled Assistant Program Manager for our Lorton Day Support Program for adults ... Job Summary Serve in an assistant capacity to the Program Manager . Serve in an acting capacity...ongoing compliance with organizational polices, and other regulatory bodies ( Medicaid , Licensing, CARF, etc.) as it pertains to individual's… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Tort Specialist** **Job Class: Human Services Program Specialist 2 ** **Agency: Human Services Dept** + **Job ID** : 90330 + **Location** : St. ... **FLSA Status** : Nonexempt + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes The… more
- 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
- Point32Health (Canton, MA)
- …engagement with senior leaders at contracted provider organizations. + **Risk Adjustment Program Management and Vendor Evaluation** : The Manager will be ... to identify improvement opportunities and recommend changes to improve program results and effectiveness. The Manager will...and reporting that identify and track revenue trends and program results for Medicare, Medicaid , Duals and… more
- New York State Civil Service (Albany, NY)
- …team members they supervise. This position reports to the Director of EISG.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- Molina Healthcare (Belleville, 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
- 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
- Humana (Dayton, OH)
- …put health first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They will assess and evaluate ... for their care and wellbeing. The RN, Field Care Manager Nurse 2 works in a CM...and is a part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Nov 1, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care and… more
- CVS Health (Harrisburg, PA)
- …Qualifications** + 2 + years of experience within Medicare Part D Stars Program Management, Medicare / Medicaid HEDIS measurement or other government quality ... each and every day. **Position Summary** Located within the Medicare Stars Program Management team, this individual contributor role will provide subject matter… more
- University of Southern California (Alhambra, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care...a case load, supporting up to 100 commercial outpatients. 2 . Utilizes the on line work list to manage… more
- Genesis Healthcare (Rochester, NH)
- …a meaningful impact in the communities we serve. Responsibilities The Business Office Manager "BOM" must be familiar with company policies and procedures related to ... Cycle Management, which includes census, ancillaries, billing, adjustments, deposits, collections, Medicaid Pending and resident funds. The BOM must also have a… more
- Humana (Canton, MI)
- …to conduct in home visits with Medicare/ Medicaid members.** The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to ... and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's...This role is a part of Humana's Driver Safety program and therefore requires and individual to have a… more
- 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 ... **Overview** **_JOB TITLE:_** Project Manager II **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC...project management organization. + 3 Preferred Knowledge of Texas Medicaid programs. + 2 Preferred Experience with… more
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